Andrea Cantwell-Durand, RNC, APNP
NPI 1396921375 · Family Nurse Practitioner · Sussex, WI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrea Cantwell-Durand, RNC, APNP is a Family Nurse Practitioner provider in Sussex, WI (NPI 1396921375).
Provider details
- NPI number
- 1396921375
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RNC, APNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2572-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
370 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 194 | $100 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 123 | $13 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 24 | $168 |
| Face-To-Face Behavioral Counseling for Obesity, 15 MinutesG0447 | 16 | $20 |
| Whole Body Composition Tissue and Fluid Measurements With Interpretation and Report0358T | 13 | $22 |
Typical Medicare-allowed amounts for these services range $13–$168 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Topiramate | 103 | 33 |
| Semaglutidebrand: Ozempic | 99 | 13 |
| Semaglutidebrand: Wegovy | 37 | — |
| Tirzepatidebrand: Mounjaro | 35 | — |
| Naltrexone Hcl | 32 | 13 |
| Metformin Hclbrand: Metformin Hcl Er | 30 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$264 across 16 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 123 Hospital Dr Ste 212Watertown, WI 53098-3336Phone: (920) 471-4044Fax: (833) 471-4090
Registry dates
- Enumerated
- 2008-01-21
- Last updated
- 2025-11-13
- Certified
- 2025-11-13
Frequently asked questions
- What is Andrea Cantwell-Durand's NPI number?
- Andrea Cantwell-Durand's National Provider Identifier (NPI) is 1396921375, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Cantwell-Durand's specialty?
- Andrea Cantwell-Durand is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Andrea Cantwell-Durand located?
- Andrea Cantwell-Durand's practice location on file with NPPES is N51w24953 Lisbon Road, Sussex, WI 53089.
- What is Andrea Cantwell-Durand's phone number?
- The practice phone number listed in the NPPES registry for Andrea Cantwell-Durand is (262) 532-8691.
- Does Andrea Cantwell-Durand accept Medicare?
- Andrea Cantwell-Durand is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrea Cantwell-Durand's NPI active?
- Yes — Andrea Cantwell-Durand's NPI (1396921375) is active in the NPPES registry as of the last update on 2025-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.