Brandon Dillenback, FNP
NPI 1275088072ActiveIndividual· Nurse Practitioner· Fond Du Lac, WI
Nurse Practitioner (FNP) with Agnesian Healthcare Inc, practicing in Fond Du Lac, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $162,486 for 2,553 claims, against $29,806 paid for services in 2024. Lists Ssm Health St Agnes Hospital-Fond Du Lac and 1 other hospital as hospital affiliations.
Overview
| NPI | 1275088072 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Aug 22, 2016 |
| Last updated in NPPES | Aug 3, 2023 |
| Certified by provider | Aug 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 14338-33 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 107 |
|---|---|
| Services billed | 393 across 24 procedure codes |
| Paid by Medicare | $29,806 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,553 · 5,362 30-day fills |
|---|---|
| Patients | 275 |
| Total drug cost | $162,486 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Agnesian Healthcare IncWaupun, WI · 388 clinicians
Hospital affiliations
- Ssm Health St Agnes Hospital-Fond Du LacFond Du Lac, WI
- Waupun Memorial HospitalWaupun, WI
Other facilities
- Ssm Health at Home Home Health - Fond Du LacHome health agency · Fond Du Lac, WI
- Ssm Health at Home HospiceHospice · Fond Du Lac, WI
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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