KELLY M DERLEIN ACNPC-AG
NPI 1154982296
Nurse Practitioner - Acute Care in Weston, WI
About Kelly M Derlein Acnpc-ag NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY M DERLEIN ACNPC-AG (NPI 1154982296) is an individual acute care provider in Weston, Wisconsin, licensed in Wisconsin (936233) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Weston, and maintains a secondary practice location in Wausau.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Kelly M Derlein Acnpc-ag 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marshfield Medical Center - Weston
Acute Care Hospitals · Weston, WIMarshfield Medical Center - Minocqua
Acute Care Hospitals · Minocqua, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54476 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WESTON, WI 54476
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 Derlein's NPI number?
The NPI number for Kelly Derlein is 1154982296. It was assigned to this individual provider in the NPPES registry on June 27, 2019. The provider is also known as Kelly Jonas Acnpc-Ag.
Where is Kelly Derlein located?
Kelly Derlein practices at 3400 Ministry Pkwy, Weston, WI 54476. The listed phone number is (715) 393-1000.
What is Kelly Derlein's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kelly Derlein enrolled in Medicare?
Yes. Kelly Derlein 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.
What insurance does Kelly Derlein accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Kelly Derlein 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.
Is Kelly Derlein affiliated with any hospitals?
According to CMS data, Kelly Derlein is affiliated with Marshfield Medical Center - Weston and Marshfield Medical Center - Minocqua.
When was this NPI record last updated?
The NPPES record for Kelly Derlein was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kelly M Derlein, ACNPC-AG · NPI 1154982296
Acute Care physician in Weston, Wisconsin. Individual provider, active in the CMS NPPES registry since June 27, 2019.
## Identity
- **NPI:** 1154982296 (Entity type: Individual)
- **Enumerated:** June 27, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 936233 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 MINISTRY PKWY, Weston, WI 54476-5220
- **Phone:** (715) 393-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154982296) · Data from the CMS NPPES public registry.