KELLAN BRETT KLUBBEN MD
NPI 1144800905
Family Medicine in Hayward, WI

Q: What is Kellan Klubben's NPI number?

The NPI number for Kellan Klubben is 1144800905. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Q: What is Kellan Klubben's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kellan Klubben was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since April 14, 2021PECOS EnrolledAccepts Medicare Assignment

11040 N STATE RD 77, HAYWARD, WI 54843(715) 934-4910 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2024, Jun 30, 2021, Apr 14, 2021 (3 updates tracked since 2021).

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About Kellan Brett Klubben Md NPPES

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

KELLAN BRETT KLUBBEN MD (NPI 1144800905) is an individual family medicine provider in Hayward, Wisconsin, licensed in Wisconsin (84153-20) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Tamarack Health Hayward Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144800905

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKELLAN BRETT KLUBBENCredential: MD

Location Address11040 N STATE RD 77Hayward, WI 54843

Mailing Address11040 N State Rd 77Hayward, WI 54843 · (715) 934-4910

Phone(715) 934-4910

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 14, 2021

Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration

NPPES CertifiedJune 30, 2021

✔ NPI 1144800905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 84153-20

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11040 N STATE RD 77, Hayward, WI 54843

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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, HealthPartners, Medica and more.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

Kellan Brett Klubben Md 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 ID143754010

PECOS Enrollment IDI20241114002529

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

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

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521336

Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54843 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 13

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

AMY MARIE HANSEN FNP-C

Nurse Practitioner (Primary Care)