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GAIL ANN KRUMMEN-LEE PMHNP-BC
NPI 1114871720
Nurse Practitioner - Psychiatric/Mental Health in Waupun, WI

Active since February 23, 2026PECOS Enrolled
W9156 LAKE EMILY RD, WAUPUN, WI 53963(608) 513-6274 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2026, May 4, 2026 (2 updates tracked since 2026).

About Gail Ann Krummen-lee Pmhnp-bc NPPES

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

GAIL ANN KRUMMEN-LEE PMHNP-BC (NPI 1114871720) is an individual psychiatric/mental health provider in Waupun, Wisconsin, licensed in Wisconsin (18325-33) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114871720
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGAIL ANN KRUMMEN-LEECredential: PMHNP-BC
Location AddressW9156 LAKE EMILY RDWaupun, WI 53963-9605
Mailing AddressW9156 Lake Emily RdWaupun, WI 53963-9605 · (608) 513-6274
Phone(608) 513-6274
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 23, 2026
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1114871720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in WI · 18325-33✔ Licensed in WI · 18235
W9156 LAKE EMILY RD, Waupun, WI 53963
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gail Ann Krummen-lee Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395202212
PECOS Enrollment IDI20260811000173
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 Gail Krummen-lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wi Shmh Sc
54 mi
Behavioral Neurology & Neuropsychiatry
18740 W BLUEMOUND RD
Brookfield, WI 53045
  • Reassigned Medicare billing, Wisconsin enrollment
  • 15 clinicians in this Medicare group
NPI 1841031549 (847) 221-6040

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 53963 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.

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 Gail Krummen-lee's NPI number?

The NPI number for Gail Krummen-lee is 1114871720. It was assigned to this individual provider in the NPPES registry on February 23, 2026.

Where is Gail Krummen-lee located?

Gail Krummen-lee practices at W9156 Lake Emily Rd, Waupun, WI 53963. The listed phone number is (608) 513-6274.

What is Gail Krummen-lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gail Krummen-lee enrolled in Medicare?

Yes. Gail Krummen-lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gail Krummen-lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gail Krummen-lee reassigns Medicare benefits to Wi Shmh Sc (Brookfield, 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 Gail Krummen-lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gail Krummen-lee accept?

Health plans from UnitedHealthcare list Gail Krummen-lee 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 Gail Krummen-lee was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.