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Active NPI 1215236278 Individual Practitioner Female Practitioner

Ann Elizabeth Dettlaff , APNP

Nurse Practitioner • Oshkosh, WI

Professional Overview & Biography Verified Profile Summary

Ann Dettlaff, APNP is a registered healthcare professional specializing in Nurse Practitioner in Oshkosh, WI. Practice services are available at 250 W 6TH AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, anticoagulant management of patient taking warfarin. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

250 W 6th Ave

Oshkosh, WI 549025910

Telephone 9202375000
Fax 9202375011
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Oshkosh, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
94 Specialists

Practicing in Oshkosh, WI (4030 Statewide)

Telehealth Adoption Rate
17.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
58 47 $490.00 $104.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
47 47 $355.00 $105.96
99213 Established patient office or other outpatient visit, typically 15 minutes
32 31 $330.00 $73.50
93793 Anticoagulant management of patient taking warfarin
31 26 $80.00 $9.40
85610 Blood test, clotting time
19 18 $45.00 $4.20

Medical Specialties & State Licenses

CMS Verified: 2026-04-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 4360-033

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License WI 4360-33

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100014463 (WI)
Medicaid State Provider ID
1215236278 (WI)

Secondary Practice Locations

720 W. Association Dr.

Appleton, WI 54914

Phone: 9207314354

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
NPI 1033326061

Doctor of Medicine (M.D.)

Holly Hedge , APNP

Nurse Practitioner

NPI 1043451412

Advanced Practice Nurse Prescriber

Sarah Danahy , LCSW

Social Worker - Clinical

NPI 1053472142

Licensed Clinical Social Worker

Mariareve Rucinski , ANP

Nurse Practitioner

NPI 1124084355

Adult Nurse Practitioner

Jessica Rice , FNP

Nurse Practitioner - Family

NPI 1255058897

Family Nurse Practitioner

NPI 1376219097

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location April 29, 2026

Registered at 250 W 6TH AVE, OSHKOSH, WI 549025910 (Tel: 9202375000)

📍
Updated Business Mailing Address April 29, 2026

Registered at 3 NEENAH CTR, NEENAH, WI 549563070 (Tel: 9208305900)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2026

Nurse Practitioner (License #4360-033 in WI)

📍
Updated Practice Location January 09, 2024

Registered at 720 W. ASSOCIATION DR., APPLETON, WI 54914 (Tel: 9207314354)

📍
Updated Business Mailing Address January 09, 2024

Registered at 720 W. ASSOCIATION DR., APPLETON, WI 54914 (Tel: 9207314354)

👤
Provider Name / Credentials Updated January 09, 2024

Recorded as ANN DETTLAFF, APNP

👤
Provider Name / Credentials Updated January 10, 2020

Recorded as ANN PRIEST, APNP

NPI Profile Active January 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2018

Registered at N1750 LILY OF THE VALLEY DR, GREENVILLE, WI 549429044 (Tel: 9207575170)

📍
Updated Business Mailing Address January 19, 2018

Registered at N1750 LILY OF THE VALLEY DR, GREENVILLE, WI 549429044 (Tel: 9207575170)

👤
Provider Name / Credentials Updated January 19, 2018

Recorded as ANN SEVERSON, APNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2018

Nurse Practitioner (License #4360-33 in WI)

NPI Profile Active April 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2016

Registered at N1750 LILY OF THE VALLEY DR, GREENVILLE, WI 549429044 (Tel: 9207575170)

📍
Updated Business Mailing Address April 19, 2016

Registered at N1750 LILY OF THE VALLEY DR, GREENVILLE, WI 549429044 (Tel: 9207575170)

👤
Provider Name / Credentials Updated April 19, 2016

Recorded as ANN SEVERSON, APNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2016

Nurse Practitioner (License #4360-33 in WI)

🟢
Initial NPI Registration & Enumeration March 16, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215236278
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2011
Last Update: April 29, 2026
Sole Proprietor: No

Mailing Address

3 Neenah Ctr

Neenah, WI 549563070

Phone: 9208305900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.