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KALYN MAHONEY CPNP-AC
NPI 1043654080
Nurse Practitioner in Appleton, WI

Active since April 22, 2013PECOS Enrolled
2575 E EVERGREEN DR, APPLETON, WI 54913(920) 969-5353 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kalyn Mahoney Cpnp-ac NPPES

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

KALYN MAHONEY CPNP-AC (NPI 1043654080) is an individual nurse practitioner in Appleton, Wisconsin, licensed in Wisconsin (17820-33) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043654080
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKALYN MAHONEYCredential: CPNP-AC
Location Address2575 E EVERGREEN DRAppleton, WI 54913-8910
Mailing Address2575 E Evergreen DrAppleton, WI 54913-8910
Phone(920) 969-5353
Sole ProprietorYes
Enumeration DateApril 22, 2013
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1043654080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 17820-33
Definition
(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.
2575 E EVERGREEN DR, Appleton, WI 54913
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kalyn Mahoney Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kalyn Mahoney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lurie Children's Medical Group Inc
170 mi
Pediatrics
225 E CHICAGO AVE
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1518064716 (312) 227-6412

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBYN W LAURITSEN APNP
Nurse Practitioner (Family)
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 404-2240
DR. DOUGLAS RANDAL ZABROWSKI M.D.
Pediatrics (Pediatric Gastroenterology)
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
JENNIFER A BLEVINS
Occupational Therapist
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
KENDALL LUCKEROTH OTR/L
Occupational Therapist
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
EMILY TYMOS
Occupational Therapist
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
BRADLEY BALINT MD
Pediatrics
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
ROBERT BECKER MD
Pediatrics
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
DR. OLIVIA MAE RIEMER AU.D.
Audiologist
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (414) 266-2934

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 Kalyn Mahoney's NPI number?

The NPI number for Kalyn Mahoney is 1043654080. It was assigned to this individual provider in the NPPES registry on April 22, 2013.

Where is Kalyn Mahoney located?

Kalyn Mahoney practices at 2575 E Evergreen Dr, Appleton, WI 54913. The listed phone number is (920) 969-5353.

What is Kalyn Mahoney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kalyn Mahoney enrolled in Medicare?

Yes. Kalyn Mahoney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kalyn Mahoney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kalyn Mahoney reassigns Medicare benefits to Lurie Children's Medical Group Inc (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kalyn Mahoney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kalyn Mahoney accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health list Kalyn Mahoney 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.

When was this NPI record last updated?

The NPPES record for Kalyn Mahoney was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.