Hilary Hetzel, APNP
NPI 1992350870 · Family Nurse Practitioner · Sussex, WI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hilary Hetzel, APNP is a Family Nurse Practitioner provider in Sussex, WI (NPI 1992350870).
Provider details
- NPI number
- 1992350870
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APNP
- Sex
- Female
- Sole proprietor
- No
- License
- 9489 (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 tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
118 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 40 | $99 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 38 | $68 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 27 | $104 |
| Administration of Influenza Virus VaccineG0008 | 13 | $30 |
Typical Medicare-allowed amounts for these services range $30–$104 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 57 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 110 | 50 |
| Losartan Potassium | 102 | 32 |
| Atorvastatin Calcium | 99 | 42 |
| Omeprazole | 72 | 30 |
| Amlodipine Besylate | 66 | 25 |
| Lisinopril | 65 | 31 |
| Levothyroxine Sodium |
Practice location
Mailing address
Additional practice locations (2)
- 595 County Road RDenmark, WI 54208-9120Phone: (920) 863-2005Fax: (920) 863-6416
- 555 Quality CtWrightstown, WI 54180-9006Phone: (920) 532-6320Fax: (920) 532-6269
Registry dates
- Enumerated
- 2019-08-07
- Last updated
- 2020-11-23
- Certified
- 2020-11-23
Frequently asked questions
- What is Hilary Hetzel's NPI number?
- Hilary Hetzel's National Provider Identifier (NPI) is 1992350870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hilary Hetzel's specialty?
- Hilary Hetzel is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Hilary Hetzel located?
- Hilary Hetzel's practice location on file with NPPES is N63w23231 Main St, Sussex, WI 53089-3208.
- What is Hilary Hetzel's phone number?
- The practice phone number listed in the NPPES registry for Hilary Hetzel is (262) 785-7720.
- Does Hilary Hetzel accept Medicare?
- Hilary Hetzel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hilary Hetzel's NPI active?
- Yes — Hilary Hetzel's NPI (1992350870) is active in the NPPES registry as of the last update on 2020-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.