Paul Antonissen, APNP
NPI 1174096747ActiveIndividual· Nurse Practitioner, Family· De Pere, WI
Nurse Practitioner, Family (APNP) in De Pere, Wisconsin, licensed in WI, with an NPI issued in January 2019. Part D covered 97 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1174096747 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APNP |
| Sole proprietor | No |
| NPI issued | Jan 7, 2019 |
| Last updated in NPPES | Jan 7, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 8973-33 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 97 · 271 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $1,097 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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