MS. KELLY LYNN HUENINK APRN
NPI 1205655719
Nurse Practitioner - Family in Appleton, WI
About Ms. Kelly Lynn Huenink Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY LYNN HUENINK APRN (NPI 1205655719) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (16023-33) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kelly Lynn Huenink Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Huenink reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mt Pleasant, WI 53406
- Reassigned Medicare billing, Wisconsin enrollment
- 11 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Wisconsin enrollment
- 26 clinicians in this Medicare group
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 54913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Huenink's NPI number?
The NPI number for Kelly Huenink is 1205655719. It was assigned to this individual provider in the NPPES registry on October 10, 2024. The provider is also known as Kelly Lynn Kollath.
Where is Kelly Huenink located?
Kelly Huenink practices at 1616 E Apple Creek Rd, Appleton, WI 54913. The listed phone number is (920) 850-7577.
What is Kelly Huenink's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Huenink enrolled in Medicare?
Yes. Kelly Huenink is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelly Huenink's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Huenink reassigns Medicare benefits to 2 organizations: Acs Wounds LLC (Mt Pleasant, WI) and Matrix Medical Plus (Nashville, TN). Each 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 Huenink's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Huenink accept?
Health plans from Anthem Blue Cross and Blue Shield list Kelly Huenink 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 Huenink was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Kelly Lynn Huenink, APRN · NPI 1205655719
Family physician in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since October 10, 2024.
## Identity
- **NPI:** 1205655719 (Entity type: Individual)
- **Enumerated:** October 10, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 16023-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1616 E APPLE CREEK RD, Appleton, WI 54913-9513
- **Phone:** (920) 850-7577
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Acs Wounds LLC (NPI 1609576750, Mt Pleasant, WI); Matrix Medical Plus (NPI 1376973461, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205655719) · Data from the CMS NPPES public registry.