MRS. KELLY MARIE BUBLITZ APNP
NPI 1053136481
Nurse Practitioner in Mequon, WI

Active since November 20, 2024PECOS EnrolledAccepts Medicare Assignment
13133 N PORT WASHINGTON RD STE 204, MEQUON, WI 53097(262) 243-2524 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Kelly Marie Bublitz Apnp NPPES

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

MRS. KELLY MARIE BUBLITZ APNP (NPI 1053136481) is an individual nurse practitioner in Mequon, Wisconsin, licensed in Wisconsin (16214-33) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1053136481
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KELLY MARIE BUBLITZCredential: APNP
Location Address13133 N PORT WASHINGTON RD STE 204Mequon, WI 53097-2420
Mailing Address1608 Behrens DrCedarburg, WI 53012-8870 · (262) 339-5809
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
NPI 1053136481 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 · 16214-33
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.

13133 N PORT WASHINGTON RD STE 204, Mequon, WI 53097

Secondary Practice Location 1

Location 12350 N Lake Dr Ste 306Milwaukee, WI 53211-4528 · Phone (414) 298-7106

Accepted 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

Mrs. Kelly Marie Bublitz Apnp 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 ID6204365604
PECOS Enrollment IDI20250130001524
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.

Hospital Affiliations CMS Care Compare 2

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53097 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 2

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

Nurse Practitioner (Adult Health)
13133 N PORT WASHINGTON RD STE 204
MEQUON, WI 53097
Physician Assistant
13133 N PORT WASHINGTON RD STE 204
MEQUON, WI 53097

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053136481, enumerated as an "individual" on November 20, 2024.

The provider is located at 13133 N PORT WASHINGTON RD STE 204 MEQUON, WI 53097 and the phone number is (262) 243-2524.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Network. Please consult your insurance carrier or call the provider to verify.

Kelly Bublitz is affiliated with: ASCENSION COLUMBIA ST MARY'S HOSPITAL MILWAUKEE and ASCENSION SE WISCONSIN HOSPITAL.