Tennille Cheslock
NPI 1376372599ActiveIndividual· Nurse Practitioner· Appleton, WI
Nurse Practitioner with Thedacare, Incorporated, practicing in Appleton, Wisconsin. Mostly services rather than prescriptions: Medicare paid $6,281 for 69 patients in 2024, with only 16 Part D claims. Lists Thedacare Medical Center - New London and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1376372599 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 26, 2024 |
| Last updated in NPPES | Jul 26, 2024 |
| Certified by provider | Jul 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 15673-33 | 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 | 69 |
|---|---|
| Services billed | 141 across 10 procedure codes |
| Paid by Medicare | $6,281 |
Part D prescriptions in 2024
| Prescriptions (claims) | 16 · 18 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $1,320 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Thedacare, IncorporatedWaupaca, WI · 647 clinicians
Hospital affiliations
- Thedacare Medical Center - New LondonNew London, WI
- Thedacare Medical Center - ShawanoShawano, 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
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