Ann M Hefter, AGACNP-BC, MSN, BSN
Individual provider Active NPI Nurse Practitioner · Appleton, WI
NPI 1003584145 · NPPES record last updated Aug 22, 2023
Key facts
- NPI
- 1003584145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 11169 (WI)
- Practice address
- 1818 N Meade St
Appleton, WI 54911-3454 - Phone
- (920) 731-8900
- NPI assigned
- Sep 2, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Medical Group-Fox Valley Wisconsin, Inc
Practice addresses (Care Compare)
1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000
5045 W Grande Market Dr
Appleton, WI 54913-8517
Phone (920) 886-9380
Hospital & facility affiliations
- Ascension NE Wisconsin - St Elizabeth Campus
- Thedacare Regional Medical Center - Appleton Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220112001197 | WI | Practitioner - Nurse Practitioner | 6507258175 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11169 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare, Incorporated | Current |
Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current |
Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current |
Accepting new patients |
Locations
5045 W Grande Market Dr
Appleton, WI 54913
Phone (920) 747-0505
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
1420 Algoma St
New London, WI 54961
Phone (920) 828-8300
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
212 E Green Bay St
Ste B
Shawano, WI 54166
Phone (920) 560-1000
N3063 Cty Highway QQ
Waupaca, WI 54981
Phone (715) 602-4046
Interoperability endpoints
- ann_hefter_clinical_support_pool1404244@direct.ascension.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11169 | WI | Yes |
Addresses
Primary practice location
1818 N Meade St
Appleton, WI 54911-3454
Mailing address
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 731-8900
Other practice location 1
1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000
Other providers in Appleton, WI
- Holly Q Hebel
- Brian A Hebl
- Nicole Hecimovich
- Brian Heenan
- Jennifer Ann Heenan
- Peter D Hehli
- Samuel James Heiks
- Heidi Klessig Heimerl
- Kay F Heimerl
- Amanda Rae Hein
All providers in Appleton, WI · Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.