NPIMap

Individual provider Active NPI

Pam E Verkuilen, NP

  • Nurse Practitioner
  • Appleton, WI
National Provider Identifier
1659363778
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
94980 Issued in WI
Practice address
5320 W Michaels Drive
Appleton, WI 54913
Phone
(920) 882-8200
Fax
(920) 882-8210
NPI assigned
Aug 16, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 94980 WI Primary

Addresses

Primary practice location

5320 W Michaels Drive
Appleton, WI 54913

Mailing address

5320 W Michaels Dr
Appleton, WI 54913-8446
Phone (920) 882-8200

Other identifiers 1

IdentifierTypeStateIssuer
43879200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628001002 WI Practitioner - Nurse Practitioner 0143206300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurospine Center of Wisconsin, S.C.Group PAC ID 1153217740, 21 clinicians

Practice addresses (Care Compare)

5320 W Michaels Dr
Appleton, WI 54913-8446
Phone (920) 882-8200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.83 of 100Reported as group
Quality
48.15
Promoting interoperability
100
Improvement activities
40
Cost
54.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
94980WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurospine Center of Wisconsin, S.C. CurrentSince Jun 12, 2000 Accepting new patients

Locations

2105 E Enterprise Ave
Appleton, WI 54913
Phone (920) 560-1000

5320 W Michaels Dr
Grand Chute, WI 54913
Phone (920) 735-7650

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

1380 Tullar Rd
Neenah, WI 54956
Phone (920) 205-0379

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

Interoperability endpoints

  • Direct secure messaging: pverkuilen21018@direct.thedacare.org
  • Direct secure messaging: pverkuilen92962@direct.myadvocateaurora.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659363778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 W MICHAELS DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138446",
            "telephone_number": "920-882-8200",
            "fax_number": "920-882-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 W MICHAELS DRIVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54913",
            "telephone_number": "920-882-8200",
            "fax_number": "920-882-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERKUILEN",
        "first_name": "PAM",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "94980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43879200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.