DR. SIMRAN K SINGH D.O.
NPI 1811131055
Psychiatry & Neurology - Neurology in Mount Pleasant, WI

NPI Status: Active since April 30, 2009

Contact Information

13250 WASHINGTON AVE
MOUNT PLEASANT, WI
ZIP 53177
Phone: (888) 720-2012

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 17
  • Psychiatry & Neurology
  • Neurology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SIMRAN SINGH

This page provides the complete NPI Profile along with additional information for Simran Singh, a provider established in Mount Pleasant, Wisconsin with a medical specialization in Psychiatry & Neurology, focusing in neurology and more than 17 years of experience. She graduated from Michigan State University College Of Osteopathic Medicine in 2009. The healthcare provider is registered in the NPI registry with number 1811131055 assigned on April 2009. The practitioner's primary taxonomy code is 2084N0400X with license number 1856 (WI). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1811131055
Provider Name
DR. SIMRAN K SINGH D.O.
Gender
Female
Entity Type
Individual
Location Address
13250 WASHINGTON AVE MOUNT PLEASANT, WI 53177
Location Phone
(888) 720-2012
Mailing Address
PO BOX 735044 CHICAGO, IL 60673
Mailing Phone
(888) 720-2012
Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year
2009
Is Sole Proprietor?
No
Enumeration Date
04-30-2009
Last Update Date
11-14-2023
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
1856
License State
WI
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

036.130911 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
  • Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • HMO Bronze $0 Medical Deductible - HMO
  • HMO Bronze 7500 - HMO
  • HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
  • HMO Gold 1500 - HMO
  • HMO Gold 2400 - HMO
  • HMO HDHP Bronze 7200 - HMO
  • HMO HDHP Silver 5400 - HMO
  • HMO Silver 5000 - HMO
  • HMO Silver 6600 - HMO
  • POS Bronze 7500 - POS
  • POS HDHP Bronze 6250 - POS
  • POS Silver 5000 - POS
  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Blue Precision Bronze HMO? 205 - HMO
  • Blue Precision Bronze HMO? 701 - HMO
  • Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
  • Blue Precision Gold HMO? 207 - HMO
  • Blue Precision Gold HMO? 703 - HMO
  • Blue Precision Gold HMO? Standard - Rx Copays - HMO
  • Blue Precision Silver HMO? 206 - HMO
  • Blue Precision Silver HMO? 704 - HMO
  • Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
  • MyBlue Plus Bronze? 903 - POS
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
  • CGHC Gold Standard $1500 - Envision Network - EPO
  • CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver Standard $5000 - Envision Network - EPO
  • CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO
  • Robin Oak $1,000 Gold - PPO
  • Robin Oak $1,500 Standard Gold - PPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $0 DED FLAT RX COPAYS - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $7000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $7000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
  • QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value (Rx Copay, No Referrals) - HMO
  • UHC Bronze Value HSA (No Referrals) - HMO
  • UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage (No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Gold Standard (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage (Rx Copay, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
  • UHC Silver Copay Focus (No Referrals) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100246704MEDICAID (05)WI 

Medicare Participation & PECOS Enrollment Status

Simran Singh is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Simran Singh is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8527376656

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230823002445

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 138 times for 51 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 41 times for 41 patients

Measurement of brain wave activity (eeg), awake and asleep

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

This service was performed 32 times for 32 patients

Measurement of brain wave activity (eeg), awake and drowsy

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

This service was performed 22 times for 21 patients

Needle measurement of electrical activity in arm or leg muscles, complete study

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

This service was performed 79 times for 44 patients

Nerve conduction, 11-12 studies

Nerve conduction studies are tests that measure how well your nerves are working. In 11-12 studies, small electrodes are placed on your skin to send and receive electrical signals. These signals show how quickly and effectively your nerves are transmitting signals, helping to identify any nerve damage or dysfunction.

This service was performed 13 times for 13 patients

Nerve conduction, 13 or more studies

Nerve conduction studies involve 13 or more tests to check the speed and strength of signals traveling between your nerves and muscles. It helps diagnose conditions affecting nerves and muscles. The test involves small shocks and may cause minor discomfort.

This service was performed 11 times for 11 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.92 for a new patient copayment and $23.85 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 53177 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $123.69
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $30.92
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.41
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $23.85
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Simran Singh is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
AURORA MEDICAL CENTER KENOSHA10400 75TH ST
KENOSHA, WI 53142
(262) 948-5600Acute Care Hospitals

Reviews for DR. SIMRAN K SINGH D.O.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1811131055
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2821232010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 2 + 3 + 2 + 0 + 1 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1811131055 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497406821AURORA MEDICAL GROUP, INC
Organization
Durable Medical Equipment & Medical Supplies13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(888) 720-2012
1003475609 ALEXIS MARIE VENTURA DNP, CRNA
Individual
Nurse Anesthetist, Certified Registered13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(262) 857-5000
1487632196DR. SRINIVASA R. PAMULAPATI MD.
Individual
Internal Medicine13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(262) 884-4000
1790256774 ALISSA ROSE BROWN CRNA
Individual
Nurse Anesthetist, Certified Registered13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(262) 799-8700
1962068270 OLIVIA A WEBER PA
Individual
Physician Assistant13250 WASHINGTON AVE
MT PLEASANT, WI 53177
(262) 799-8700
1316417058 JULIANNE M SAUER PA-C
Individual
Physician Assistant13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(262) 857-5300
1598480238 PETER DOMBAI
Individual
Physical Therapist13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(262) 799-8330
1659768182 PATRICK D. FAY MD
Individual
Internal Medicine (Critical Care Medicine)13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(414) 313-3549
1548978687 KELLY ANNE ASCHENBRENNER NP
Individual
Nurse Practitioner13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(262) 799-8700
1316648769 ELIZABETH CAPISTRANT RD
Individual
Dietitian, Registered13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(262) 799-8246
1982667853 DIANNA MARIE HANSON PT
Individual
Physical Therapist13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(262) 799-8330
1033129697 JAMES M WALTENBERGER MD
Individual
Surgery13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(888) 720-2012
1396426631 SHARON MICHAEL RDN, CD
Individual
Dietitian, Registered13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(262) 799-8246
1851910772 JOHN PAUL KORDUCKI
Individual
Emergency Medicine13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(262) 799-8700
1174847867DR. DAJUN WANG M.D.
Individual
Internal Medicine (Interventional Cardiology)13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(888) 720-2012
1366903361DR. ROBERT MARSH DNP, CRNA, APNP
Individual
Nurse Anesthetist, Certified Registered13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(262) 799-8700
1235823824 MEGAN CATHERINE FLYNN PA-C
Individual
Physician Assistant13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(262) 799-8700
1447539655 THERESA E SULLIVAN D.O. , M.P.H
Individual
Hospitalist13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(262) 799-8700
1881368116MRS. ERIKA MAY SPIEGEL PTA
Individual
Physical Therapy Assistant13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(262) 799-8330
1952916686 JAMIE L PAIVA-SHARMA DNP, AGACNP-BC
Individual
Nurse Practitioner13250 WASHINGTON AVE
MOUNT PLEASANT, WI 53177
(262) 948-5600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811131055, enumerated in the NPI registry as an "individual" on April 30, 2009

The provider is located at 13250 Washington Ave Mount Pleasant, Wi 53177 and the phone number is (888) 720-2012

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology

The provider has more than 17 years of experience. She graduated from Michigan State University College Of Osteopathic Medicine in 2009.

The provider might be accepting Accepts: Aetna CVS Health, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $123.69 with an average copayment of $30.92 for new patient appointments. Established patients should expect a typical charge of $95.41 and an average copayment of 23.85. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 25 minutes, Initial hospital inpatient care per day, typically 50 minutes, Measurement of brain wave activity (eeg), awake and asleep, Measurement of brain wave activity (eeg), awake and drowsy, Needle measurement of electrical activity in arm or leg muscles, complete study, Nerve conduction, 11-12 studies and Nerve conduction, 13 or more studies.

The practitioner is affiliated to the following hospital(s): AURORA MEDICAL CENTER KENOSHA. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 30, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.