Maria R. Hanneman
NPI 1366859977ActiveIndividual· Nurse Practitioner· Appleton, WI
Nurse Practitioner with Thedacare, Incorporated, practicing in Appleton, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $15,205 for 266 claims, against $5,075 paid for services in 2024. Lists Thedacare Medical Center - Berlin Inc and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1366859977 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 15, 2014 |
| Last updated in NPPES | Dec 31, 2024 |
| Certified by provider | Dec 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 9035 | WI |
| Nurse Practitioner | 363L00000X | 1857142 | MN |
| Nurse Practitioner | 363L00000X | F0714375 | MN |
| Nurse Practitioner | 363L00000X | 1216 | MN |
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 (MN); Practitioner - Nurse Practitioner (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 82 across 8 procedure codes |
| Paid by Medicare | $5,075 |
Part D prescriptions in 2024
| Prescriptions (claims) | 266 · 302 30-day fills |
|---|---|
| Patients | 99 |
| Total drug cost | $15,205 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Thedacare, IncorporatedWaupaca, WI · 647 clinicians
Hospital affiliations
- Thedacare Medical Center - Berlin IncBerlin, WI
- Thedacare Regional Med Ctr - NeenahNeenah, WI
- Thedacare Regional Medical Center - Appleton IncAppleton, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Appleton
- 1457059735
- 1144858895
- 1760266696
- 1376386722
- 1073279816
- 1124454830
- 1740913904
- 1184040982
- 1356378731
- 1326121898
- 1790662294
- 1265048805