Active NPI 1831246172 Individual Practitioner Female Practitioner

Clare A Cullen , APNP

Nurse Practitioner • Plover, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Clare Cullen, APNP is a certified Nurse Practitioner practicing in Plover, WI. With approximately 26 years of clinical experience since completing medical education in 2000, Clare Cullen delivers high-quality medical care to the local community at 2401 PLOVER ROAD.

Clare Cullen is affiliated with Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include blood test, clotting time, routine electrocardiogram (ecg) using at least 12 leads with tracing, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2401 Plover Road

Plover, WI 54481

Telephone 7152593800

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Plover, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +11.5 yrs vs City Avg

City Avg: 14.5 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

6 Specialists

Practicing in Plover, WI (4030 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

94.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cullen (26 Years) 26 Yrs

Plover Specialty Average (14.5 Years) 14.5 Yrs

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
85610 Blood test, clotting time	72	11	$67.28	$4.20
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	23	22	$118.17	$5.91

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	176	129	$279.48	$105.06
36415 Insertion of needle into vein for collection of blood sample	122	95	$33.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	92	92	$175.13	$107.37
99213 Established patient office or other outpatient visit, typically 15 minutes	78	64	$186.41	$74.16
G0008 Administration of influenza virus vaccine	67	67	$36.00	$27.95
90662 Influenza vaccine split virus, preservative free	56	56	$90.00	$68.54
93793 Anticoagulant management of patient taking warfarin	48	11	$12.79	$9.30
0064A Adm sarscov2 50mcg/0.25mlbst	22	22	$41.00	$37.32
G0009 Administration of pneumococcal vaccine	19	19	$36.00	$28.05
0124A Fee covid-19 vac 13 res	17	17	$41.00	$37.08
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	14	14	$115.00	$5.65
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$169.08	$131.52
0134A Fee covid-19 vac 14 res	13	13	$41.00	$37.08
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$23.00	$21.09

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	123	98	$108.59	$80.99
99213 Established patient office or other outpatient visit, typically 15 minutes	67	58	$57.66	$54.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$124.33	$109.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$24.80	$25.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	39	$59.40	$41.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	33	$240.01	$84.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$143.35	$65.73
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$154.10	$58.12

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	74	71	$134.91	$63.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	44	$261.00	$86.86
99213 Established patient office or other outpatient visit, typically 15 minutes	44	44	$56.95	$42.10
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$174.92	$61.11

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	38	36	$135.21	$64.13
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$59.24	$41.78
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$148.22	$54.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$161.08	$72.96

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	63	48	$86.55	$64.30
99213 Established patient office or other outpatient visit, typically 15 minutes	59	52	$50.88	$41.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$116.65	$94.22

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 1134

(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

43882000 (WI)

Hospital & Practice Group Affiliations

Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc.

3500 Hoover Rd, Stevens Point, WI 544815600

Phone: 7153427900

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Mark Fenlon , MD

Family Medicine

NPI 1083776736

Doctor of Medicine (M.D.)

Cindy Schmitz , APNP

Nurse Practitioner

NPI 1881741130

Advanced Practice Nurse Prescriber

Deborah Kosobucki , APNP

Nurse Practitioner

NPI 1992852230

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 22, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 22, 2008

Registered at 2401 PLOVER ROAD, PLOVER, WI 54481 (Tel: 7152593800)

📍

Updated Business Mailing Address May 22, 2008

Registered at 900 ILLINOIS AVENUE, STEVENS POINT, WI 54481

👤

Provider Name / Credentials Updated May 22, 2008

Recorded as CLARE CULLEN, APNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2008

Nurse Practitioner (License #1134 in WI)

🟢

Initial NPI Registration & Enumeration January 05, 2007

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: 1831246172

Entity Type:

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

Enumeration Date: January 05, 2007

Last Update: May 22, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

900 Illinois Avenue

Stevens Point, WI 54481

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.