Julie Ann Lisa Reynolds, APNP-BC - Medicare Nurse Practitioner in Appleton, WI

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Julie Ann Lisa Reynolds, APNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Appleton, Wisconsin. Her current practice location is 5337 W Grande Market Dr, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 731-7445.

Julie Ann Lisa Reynolds is licensed to practice in Wisconsin (license number 7843) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497054464.

Contact Information

Julie Ann Lisa Reynolds, APNP-BC
5337 W Grande Market Dr,
Appleton, WI 54913-8442
(920) 731-7445
Not Available

Map and Direction




Provider's Profile

Full NameJulie Ann Lisa Reynolds
GenderFemale
SpecialityNurse Practitioner - Family
Location5337 W Grande Market Dr, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497054464
  • Provider Enumeration Date: 03/16/2011
  • Last Update Date: 05/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0749555449
  • Enrollment ID: I20171005002235

Medical Identifiers

Medical identifiers for Julie Ann Lisa Reynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497054464NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 135242-30 (Wisconsin)Secondary
363L00000XNurse Practitioner 7843-33 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 7843 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Julie Ann Lisa Reynolds allows following entities to bill medicare on her behalf.
Entity NameThedacare, Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088
Entity NameThedacare Regional Medical Center - Appleton, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902832306
PECOS PAC ID: 2163319039
Enrollment ID: O20040304000064
Entity NameCleanslate Medical Group Of Wisconsin Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518404854
PECOS PAC ID: 4284905134
Enrollment ID: O20170810002045

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Julie Ann Lisa Reynolds is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Julie Ann Lisa Reynolds, APNP-BC
5337 W Grande Market Dr,
Appleton, WI 54913-8442

Ph: (920) 731-7445		Julie Ann Lisa Reynolds, APNP-BC
5337 W Grande Market Dr,
Appleton, WI 54913-8442

Ph: (920) 731-7445

Reviews and Comments


Nurse Practitioner Nurses in Appleton, WI

Ann M Hefter, AGACNP-BC, MSN, BSN
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Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-8900    
Dessia J Laxton, APNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-8900    Fax: 920-738-5369
Katie Geiser, NP
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Practice Location: 5045 W Grande Market Dr, Appleton, WI 54913
Phone: 920-886-9380    
Ingrid K Simpson, FNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 2400 E Capitol Dr, Appleton, WI 54911
Phone: 920-831-5050    Fax: 920-831-1867
Lisa Valiquette, NP
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Medicare: Medicare Enrolled
Practice Location: 2500 E Capitol Dr, Appleton, WI 54911
Phone: 920-738-4600    Fax: 920-738-4792
Kimberly A Romenesko, APNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-735-7645    Fax: 920-735-7618
Steven R Hamel, APN FP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.