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Keelyn Marie Wallenfang, APNP

NPI 1669198313ActiveIndividual· Nurse Practitioner· Appleton, WI

Nurse Practitioner (APNP) with Thedacare, Incorporated, practicing in Appleton, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $455,255 for 3,159 claims, against $14,531 paid for services in 2024. Boston Scientific Corporation was the largest of 9 companies reporting payments in 2025, $360.43 in all, mostly food and beverage. Lists Thedacare Medical Center - New London and 3 other hospitals as hospital affiliations.

Overview

NPI1669198313
StatusActive
Entity typeIndividual
CredentialAPNP
Sole proprietorNo
NPI issuedOct 14, 2022
Last updated in NPPESDec 22, 2022
Certified by providerDec 22, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X12184WI
Nurse Practitioner, Family363LF0000X12184WI

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)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients145
Services billed326 across 13 procedure codes
Paid by Medicare$14,531

Part D prescriptions in 2024

Prescriptions (claims)3,159 · 7,693 30-day fills
Patients598
Total drug cost$455,255
Generic share86% of claims

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$360.43 · 11 payments from 9 companies
  • 2024$1,294 · 10 payments from 4 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$360.43 · 11 payments

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

Other nurse practitioners in Appleton

All 160 nurse practitioners in Appleton · All nurse practitioners in Wisconsin