Active NPI 1770050585 Individual Practitioner Female Practitioner

Donna Jo Hawley , APNP

Nurse Practitioner • Oshkosh, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Donna Hawley, APNP is a certified Nurse Practitioner practicing in Oshkosh, WI. With approximately 8 years of clinical experience since completing medical education in 2018, Donna Hawley delivers high-quality medical care to the local community at 1855 S KOELLER ST.

Donna Hawley is affiliated with Sequoia Integrative Medical Services Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient with low level of medical decision making, per day, if using time, at least, residence visit for established patient with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1855 S Koeller St

Oshkosh, WI 549026186

Telephone 9202101259

Associated Practice Facility / Clinic

🏢 Ascension Medical Group-Fox Valley Wisconsin, Inc Facility NPI 1770688749

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Oshkosh, WI

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs -1.8 yrs vs City Avg

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

✓ Offers Virtual Consultations

Medicare Pricing Discount

74.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hawley (8 Years) 8 Yrs

Oshkosh Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	328	72	$367.91	$100.96
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	116	50	$254.62	$61.09
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	50	29	$521.88	$147.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$361.00	$103.71
99344 New patient home visit, typically 1 hour	19	19	$530.68	$113.13
90792 Psychiatric diagnostic evaluation with medical services	12	12	$638.00	$156.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	232	68	$349.94	$103.78
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	137	55	$242.04	$62.39
90838 Psychotherapy with evaluation and management visit, 1 hour	31	12	$364.26	$95.94
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	24	20	$498.83	$151.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$342.88	$105.96
99344 New patient home visit, typically 1 hour	15	15	$499.67	$117.33
69210 Removal of impacted ear wax	11	11	$209.27	$38.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	273	61	$360.21	$108.68
99335 Established patient assisted living visit, typically 25 minutes	71	36	$253.82	$76.92
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	46	18	$180.91	$55.40
99337 Established patient assisted living visit, typically 60 minutes	33	26	$511.88	$155.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	33	17	$238.36	$73.27
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	32	21	$181.75	$55.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$328.78	$106.61
69210 Removal of impacted ear wax	21	18	$307.10	$37.86
90834 Psychotherapy, 45 minutes	19	12	$317.32	$83.76
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	18	17	$350.56	$108.36
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	15	15	$583.27	$174.63
90792 Psychiatric diagnostic evaluation with medical services	13	13	$592.62	$163.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	162	47	$348.30	$110.28
99335 Established patient assisted living visit, typically 25 minutes	100	40	$246.10	$77.97
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	83	50	$175.11	$55.84
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	80	33	$175.71	$55.85
99337 Established patient assisted living visit, typically 60 minutes	59	34	$494.66	$157.92
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	56	52	$341.80	$109.85
99316 Nursing facility discharge management, more than 30 minutes	44	42	$218.50	$85.29
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	33	27	$232.09	$74.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$318.40	$108.50
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	26	14	$232.50	$74.00
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	22	22	$559.00	$177.98
99497 Advance care planning, first 30 minutes	19	17	$148.47	$69.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	90	69	$224.40	$75.16
99336 Established patient assisted living visit, typically 40 minutes	76	35	$337.24	$111.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	58	37	$221.33	$73.73
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	30	22	$169.27	$56.86
99337 Established patient assisted living visit, typically 60 minutes	22	19	$480.68	$160.67
99335 Established patient assisted living visit, typically 25 minutes	22	16	$237.36	$78.98
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	20	18	$168.10	$56.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$309.37	$95.23
99316 Nursing facility discharge management, more than 30 minutes	19	18	$207.84	$86.51
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	16	16	$543.50	$181.90
99315 Nursing facility discharge day management, 30 minutes or less	13	13	$164.00	$60.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	151	107	$219.00	$74.50
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	137	70	$219.00	$74.50
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	95	45	$166.00	$56.09
99316 Nursing facility discharge management, more than 30 minutes	65	60	$205.00	$86.05
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	44	29	$166.00	$56.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	12	$219.00	$74.62

Medical Specialties & State Licenses

CMS Verified: 2022-02-23

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 8756

(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.

General Practice

NUCC Taxonomy Code: 208D00000X

State License WI 8756

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License WI 8756

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100193794 (WI)

Medicaid State Provider ID

100083122 (WI)

Hospital & Practice Group Affiliations

Sequoia Integrative Medical Services Llc

1351 Ontario Rd, Green Bay, WI 543118302

Phone: 9203281220

Practice Associates & Co-Workers

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

40 Associated Practitioners

Sandralee Quade , NP

Nurse Practitioner - Adult Health

NPI 1013274356

Nurse Practitioner

Dr. James Smrecek , MD

Family Medicine

NPI 1063407385

Doctor of Medicine (M.D.)

Sara Kolell , APNP

Nurse Practitioner

NPI 1063694537

Advanced Practice Nurse Prescriber

Dr. Christal Sakrison , MD

Family Medicine

NPI 1073508487

Doctor of Medicine (M.D.)

Dr. Shelly Komondoros , PhD

Psychologist - Clinical

NPI 1073800777

Doctor of Philosophy (Ph.D.)

Dr. Benjamin Heinzen , MD

Internal Medicine

NPI 1083886733

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 30, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location October 30, 2018

Registered at 1855 S KOELLER ST, OSHKOSH, WI 549026186 (Tel: 9202101259)

📍

Updated Business Mailing Address October 30, 2018

Registered at 224 FOREST ST, FOX LAKE, WI 539339404 (Tel: 9202101259)

👤

Provider Name / Credentials Updated October 30, 2018

Recorded as DONNA HAWLEY, APNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2018

General Practice (License #8756 in WI)

🟢

Initial NPI Registration & Enumeration October 30, 2018

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: 1770050585

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 30, 2018

Last Update: February 23, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

224 Forest St

Fox Lake, WI 539339404

Phone: 9202101259

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.