JACQUELYN C KUZMINSKI MD
NPI 1063500569
Pediatrics in Greenfield, WI

Active since October 10, 2006PECOS Enrolled
9000 W SURA LN, GREENFIELD, WI 53228(414) 246-6800 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2024, Nov 22, 2021, Aug 30, 2019 and 1 more (4 updates tracked since 2016).

About Jacquelyn C Kuzminski Md NPPES

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

JACQUELYN C KUZMINSKI MD (NPI 1063500569) is an individual pediatrics provider in Greenfield, Wisconsin, licensed in Wisconsin (1635850) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063500569
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJACQUELYN C KUZMINSKICredential: MD
Location Address9000 W SURA LNGreenfield, WI 53228-3477
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateApril 29, 20244 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1063500569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 1635850
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9000 W SURA LN, Greenfield, WI 53228

Other Names 1

Former Name (1)Jacquelyn Christine Nohl Md

Other Identifiers 1

Medicaid35113300WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn C Kuzminski Md 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 Jacquelyn Kuzminski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group

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 53228 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.

Occupational Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Physical Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Physical Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Pharmacist
9000 W SURA LN
GREENFIELD, WI 53228
Occupational Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Physical Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Speech-Language Pathologist
9000 W SURA LN
GREENFIELD, WI 53228
Physical Therapist
9000 W SURA LN
GREENFIELD, WI 53228

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 Jacquelyn Kuzminski's NPI number?

The NPI number for Jacquelyn Kuzminski is 1063500569. It was assigned to this individual provider in the NPPES registry on October 10, 2006. The provider is also known as Jacquelyn Christine Nohl MD.

Where is Jacquelyn Kuzminski located?

Jacquelyn Kuzminski practices at 9000 W Sura Ln, Greenfield, WI 53228. The listed phone number is (414) 246-6800.

What is Jacquelyn Kuzminski's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jacquelyn Kuzminski enrolled in Medicare?

Yes. Jacquelyn Kuzminski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacquelyn Kuzminski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Kuzminski reassigns Medicare benefits to Aurora Medical Group, Inc. (West Allis, WI). 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 Jacquelyn Kuzminski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelyn Kuzminski accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Jacquelyn Kuzminski 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 Jacquelyn Kuzminski was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.