Tiffany Marie Boelk, APNP
NPI 1700459690ActiveIndividual· Nurse Practitioner· Fond Du Lac, WI
Nurse Practitioner (APNP) with Agnesian Healthcare Inc, practicing in Fond Du Lac, Wisconsin. In 2024 Medicare paid $9,991 for 171 patients, and Part D covered 153 of their prescriptions, 84% of them generic. Cvrx, Inc. reported $19.89 in payments in 2025, mostly food and beverage. Lists Ssm Health St Agnes Hospital-Fond Du Lac as a hospital affiliation.
Overview
| NPI | 1700459690 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APNP |
| Sole proprietor | No |
| NPI issued | Jul 20, 2021 |
| Last updated in NPPES | Oct 12, 2021 |
| Certified by provider | Oct 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 10905-33 | WI |
| Nurse Practitioner, Family | 363LF0000X | 10905-33 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 | 171 |
|---|---|
| Services billed | 341 across 12 procedure codes |
| Paid by Medicare | $9,991 |
Part D prescriptions in 2024
| Prescriptions (claims) | 153 · 188 30-day fills |
|---|---|
| Patients | 89 |
| Total drug cost | $7,195 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Agnesian Healthcare IncWaupun, WI · 388 clinicians
Hospital affiliation
- Ssm Health St Agnes Hospital-Fond Du LacFond Du Lac, WI
Industry payments (Open Payments)
- 2025$19.89 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Cvrx, Inc. | $19.89 | 1 |
What the 2025 payments were for
- Food and Beverage$19.89 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Fond Du Lac
- 1932608619
- 1912748401
- 1043279805
- 1770566721
- 1720339997
- 1376146910
- 1164182895
- 1649129313
- 1023460110
- 1417397126
- 1487798070
- 1275088072