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Tina L. Videtic, APRN, BC

NPI 1396930707ActiveIndividual· Nurse Practitioner· Sheboygan, WI

Nurse Practitioner (APRN, BC) in Sheboygan, Wisconsin, licensed in WI, with an NPI issued in September 2007. Part D covered 95 prescriptions written in 2024, 95% of them generic.

Overview

NPI1396930707
StatusActive
Entity typeIndividual
CredentialAPRN, BC
Sole proprietorNo
NPI issuedSep 9, 2007
Last updated in NPPESJan 22, 2026
Certified by providerJan 22, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X3260WI
Nurse Practitioner, Family363LF0000X3260WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (WI)

Part D prescriptions in 2024

Prescriptions (claims)95 · 210 30-day fills
Patients36
Total drug cost$1,090
Generic share95% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other nurse practitioners in Sheboygan

All 61 nurse practitioners in Sheboygan · All nurse practitioners in Wisconsin