KEDRA L KLUCKEY APNP
NPI 1205070836
Nurse Practitioner in Green Bay, WI

Q: What is Kedra Kluckey's NPI number?

The NPI number for Kedra Kluckey is 1205070836. It was assigned to this individual provider in the NPPES registry on April 27, 2009.

Q: What is Kedra Kluckey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kedra Kluckey was last updated on October 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 27, 2009PECOS Enrolled

2845 GREENBRIER RD, GREEN BAY, WI 54311(920) 288-4560 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2019, Jan 19, 2018 (2 updates tracked since 2018).

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About Kedra L Kluckey Apnp NPPES

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

KEDRA L KLUCKEY APNP (NPI 1205070836) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (3804) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205070836

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKEDRA L KLUCKEYCredential: APNP

Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519

Mailing Address2845 Greenbrier RdGreen Bay, WI 54311-6519 · (920) 288-5460

Phone(920) 288-4560

Sole ProprietorNo

Enumeration DateApril 27, 2009

Last NPPES UpdateOctober 4, 20192 updates tracked since enumeration

✔ NPI 1205070836 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 · 3804

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.

2845 GREENBRIER RD, Green Bay, WI 54311

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Other Identifiers 1

Medicaid1205070836WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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 (PECOS)

Kedra L Kluckey Apnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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.

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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.

AMRITHA CHANDRAHASA KARKERA M.D.

Internal Medicine (Hematology & Oncology)