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KELLY H PAPPAS NP
NPI 1114698016
Nurse Practitioner in Madison, WI

Active since September 22, 2021PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
202 S PARK ST, MADISON, WI 53715(608) 417-6667(608) 417-6364 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelly H Pappas Np NPPES

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

KELLY H PAPPAS NP (NPI 1114698016) is an individual nurse practitioner in Madison, Wisconsin, licensed in Wisconsin (240371) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114698016
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY H PAPPASCredential: NP
Location Address202 S PARK STMadison, WI 53715-1507
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 417-6667
Fax(608) 417-6364
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 22, 2021
NPPES CertifiedSeptember 22, 2021
✔ NPI 1114698016 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 · 240371
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.
202 S PARK ST, Madison, WI 53715
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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, HealthPartners 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 and accepts Medicare assignment

Kelly H Pappas Np 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 ID4981094950
PECOS Enrollment IDI20211206002061
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 Kelly Pappas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Wisconsin Medical Foundation, Inc
6.6 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

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 53715 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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

ASHLEY N BERKA NURSE PRACTITIONER
Nurse Practitioner
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6667
BROOK INGEBRIGTSON APNP
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6236
PAUL LADWIG RN
Registered Nurse
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6000
DIXITA KAPPELL NP
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6236
SUSAN R WILHELM PA-C
Physician Assistant (Medical)
202 S PARK ST, MERITER ATRIUM
MADISON, WI 53715
Dane County (608) 417-5970
PETER GERARD PRYDE MD
Anesthesiology
202 S PARK ST, 4 TOWER
MADISON, WI 53715
Dane County (608) 267-6676
SUSAN MENG PT
Physical Therapist
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6000
BRIAN DAVID GRIFFITH M.D.
Internal Medicine (Critical Care Medicine)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-5950

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 Kelly Pappas's NPI number?

The NPI number for Kelly Pappas is 1114698016. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Where is Kelly Pappas located?

Kelly Pappas practices at 202 S Park St, Madison, WI 53715. The listed phone number is (608) 417-6667.

What is Kelly Pappas's specialty?

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

Is Kelly Pappas enrolled in Medicare?

Yes. Kelly Pappas 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.

Which organization bills Medicare for Kelly Pappas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Pappas reassigns Medicare benefits to University Of Wisconsin Medical Foundation, Inc (Middleton, 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 Kelly Pappas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Pappas accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Quartz list Kelly Pappas 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 Kelly Pappas was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.