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ANDREA MICHELLE KRAUS M.D.
NPI 1003935925
Emergency Medicine in Milwaukee, WI

Active since March 29, 2007PECOS EnrolledAccepts Medicare Assignment
91.74/100
CMS Quality Rating
3237 S 16TH ST STE 100, MILWAUKEE, WI 53215(414) 647-5203(414) 858-2236 Get Directions Write a Review

NPPES record last updated: April 7, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Andrea Michelle Kraus M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA MICHELLE KRAUS M.D. (NPI 1003935925) is an individual emergency medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (52952-20) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension St Francis Hospital, and is a graduate of Saint Louis University School Of Medicine (2007).

NPPES Registry Identity

NPI1003935925
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameANDREA MICHELLE KRAUSCredential: M.D.
Location Address3237 S 16TH ST STE 100Milwaukee, WI 53215-4526
Mailing Address10625 W North Ave, 102Milwaukee, WI 53226-2315 · (414) 877-5350 · Fax (414) 877-5360
Phone(414) 647-5203
Fax(414) 858-2236
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2007
Enumeration DateMarch 29, 2007
Last NPPES UpdateApril 7, 2017
✔ NPI 1003935925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 52952-20
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3237 S 16TH ST STE 100, Milwaukee, WI 53215
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Other Names 1

Former Name (1)Andrea Michelle Karrick M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Michelle Kraus M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628264397
PECOS Enrollment IDI20101119000542
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
56 services49 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
45 services44 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services28 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Watertown Memorial Hospital

Acute Care Hospitals · Watertown, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520116
Location125 Hospital DriveWatertown, WI 53098 · Dodge County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Ascension Wisconsin Hosp Menomonee Falls Campus

Acute Care Hospitals · Menomonee Falls, WI
OwnershipProprietary
CMS Certification Number520214
LocationN88w14275 Main Street, Suite 100Menomonee Falls, WI 53051 · Waukesha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.9
Improvement Activities40
Cost70.34

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Kraus's NPI number?

The NPI number for Andrea Kraus is 1003935925. It was assigned to this individual provider in the NPPES registry on March 29, 2007. The provider is also known as Andrea Michelle Karrick M.D..

Where is Andrea Kraus located?

Andrea Kraus practices at 3237 S 16th St Ste 100, Milwaukee, WI 53215. The listed phone number is (414) 647-5203.

What is Andrea Kraus's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Andrea Kraus enrolled in Medicare?

Yes. Andrea Kraus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrea Kraus accept?

Health plans from CareSource (Common Ground Healthcare) list Andrea Kraus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrea Kraus affiliated with any hospitals?

According to CMS data, Andrea Kraus is affiliated with Ascension St Francis Hospital, Watertown Memorial Hospital, Ascension SE Wisconsin Hospital and Ascension Wisconsin Hosp Menomonee Falls Campus.

When was this NPI record last updated?

The NPPES record for Andrea Kraus was last updated on April 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.