Rhea Fofana , NP
Nurse Practitioner โข Appleton, WI
10 Tri Park Way
Appleton, WI 549141658
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 31, 2017; this date does not establish years in practice.
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Published CMS data list 1,411 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 99336 โ Established patient assisted living visit: 462 service units.
- 99490 โ Chronic care management services: 281 service units.
- 99337 โ Established patient assisted living visit: 278 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See all 12 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 134 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 25 prescription fills, including refills.
- Furosemide โ 17 prescription fills, including refills.
- Lisinopril โ 16 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 9 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Appleton, WI (2024, 88 clinicians with data). Median for this group: 456. Middle half: 90 to 1,100.
Fewer Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,202 clinicians with data). Median for this group: 327. Middle half: 90 to 1,325.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 375 in 2017 to 1,411 in 2021.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2017โ2021.
Practice Location & Contact Primary Location
10 Tri Park Way
Appleton, WI 549141658
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $133,389 in 2021
The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021.
Paid by Medicare
About $97,807 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021.
30-day fills
314 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$6,903 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Rhea Fofana has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Rhea Fofana as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Appleton and Wisconsin
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Appleton, WI (2024, 88 clinicians with data). Median for this group: 456. Middle half: 90 to 1,100.
Fewer Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,202 clinicians with data). Median for this group: 327. Middle half: 90 to 1,325.
Part D drug cost
Close to the middle for clinicians listed under Nurse Practitioner in Appleton, WI (2024, 88 clinicians with data). Median for this group: $12,751. Middle half: $697 to $103,869.
Close to the middle for clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,202 clinicians with data). Median for this group: $17,831. Middle half: $1,191 to $147,074.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Rhea Fofana are from 2021.
155 active clinicians are listed under Nurse Practitioner with a practice address in Appleton, WI (3,995 in Wisconsin).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Appleton
6.5% of these 155 clinicians have the CMS telehealth indicator.
60.6% of these 155 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 276% from 375 in 2017 to 1,411 in 2021.
- 2017: 375
- 2018: 941
- 2019: 1,559
- 2020: 1,464
- 2021: 1,411
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Medicare-allowed amount
Medicare-allowed amount increased 177% from $48,227 in 2017 to $133,389 in 2021.
- 2017: $48,227
- 2018: $129,591
- 2019: $193,003
- 2020: $140,038
- 2021: $133,389
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Paid by Medicare
Paid by Medicare increased 151% from $38,925 in 2017 to $97,807 in 2021.
- 2017: $38,925
- 2018: $93,163
- 2019: $147,178
- 2020: $103,113
- 2021: $97,807
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 98% from 8,473 in 2020 to 134 in 2024.
- 2020: 8,473
- 2021: 9,873
- 2022: 1,521
- 2023: 216
- 2024: 134
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30-day fills
30-day fills decreased 96% from 8,564 in 2020 to 314 in 2024.
- 2020: 8,564
- 2021: 10,009
- 2022: 1,748
- 2023: 391
- 2024: 314
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Part D drug cost
Part D drug cost decreased 98% from $296,057 in 2020 to $6,903 in 2024.
- 2020: $296,057
- 2021: $365,824
- 2022: $41,392
- 2023: $9,096
- 2024: $6,903
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
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99336
Established patient assisted living visit, typically 40 minutes
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462 | 129 | $170.37 | $111.11 |
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
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281 | 120 | $51.82 | $33.72 |
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99337
Established patient assisted living visit, typically 60 minutes
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278 | 111 | $244.32 | $159.22 |
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99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
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90 | 67 | $46.40 | $30.76 |
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99487
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month
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87 | 56 | $114.99 | $75.30 |
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99489
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month
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58 | 26 | $58.54 | $35.81 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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45 | 45 | $153.50 | $109.74 |
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99335
Established patient assisted living visit, typically 25 minutes
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29 | 24 | $120.17 | $78.60 |
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G0506
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)
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27 | 27 | $78.30 | $50.66 |
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99328
New patient custodial care facility, group care, or assisted living visit, typically 75 minutes
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22 | 22 | $275.14 | $179.48 |
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99496
Transitional care management services for problem of high complexity
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16 | 13 | $306.58 | $230.67 |
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G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
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16 | 14 | $66.70 | $43.55 |
Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 25 | 2,250 | $272.33 | โ |
| Furosemide | Furosemide | 17 | 849 | $141.87 | โ |
| Lisinopril | Lisinopril | 16 | 1,440 | $147.88 | โ |
| Metformin Hcl | Metformin Hcl | 14 | 840 | $115.23 | โ |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 14 | 1,260 | $218.76 | โ |
| Gabapentin | Gabapentin | 13 | 390 | $118.35 | โ |
| Xarelto | Rivaroxaban | 12 | 317 | $5,637.05 | โ |
| Metoprolol Succinate | Metoprolol Succinate | 12 | 767 | $160.51 | โ |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 11 | 990 | $90.57 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-04-15NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LF0000X
NUCC Taxonomy Code: 363LP2300X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSORDER AND REFERRING ONLY - FAMILY PRACTICE
I20260529002170
WI
2769754886
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine - Adult Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Doctor of Nursing Practice, Registered Nurse, Family Nurse Practitioner (Board Certified)
Nurse Practitioner - Psychiatric/Mental Health
Nurse Practitioner
Nurse Practitioner - Primary Care
Advanced Practice Nurse Prescriber, BC, Family Nurse Practitioner, Registered Nurse
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Nurse Prescriber
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Nurse Practitioner (license number reported to NPPES: WI 7829)
Registered at 10 TRI PARK WAY, APPLETON, WI 549141658 (Tel: 9208310070)
Registered at 10 TRI PARK WAY, APPLETON, WI 549141658 (Tel: 9208310070)
Registered at 3501 TULIP TRL, APPLETON, WI 549138490 (Tel: 9204756707)
Registered at 3501 TULIP TRL, APPLETON, WI 549138490 (Tel: 9204756707)
NPI status registered as active in NPPES database
Registered at 342 N WATER ST STE 600, MILWAUKEE, WI 532025715 (Tel: 6513421039)
Registered at 270 MAIN ST N STE 300, STILLWATER, MN 550826788 (Tel: 6513421039)
Recorded as RHEA FOFANA, NP
Nurse Practitioner (license number reported to NPPES: WI 7829-33)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Appleton
- Mellissa Willming, NURSE PRACTITIONER
- Suzanne Dupont, APNP
- Christine Arendt, NP
- Peggy Flease, FNP, APNP
- Dr. Jennifer Anderson, DNP, FNP-C
- Dean Sutton, APNP
Mailing Address
10 Tri Park Way
Appleton, WI 549141658
Phone: 9208310070