KELLY A KRISTBAUM NP
NPI 1215271994
Nurse Practitioner in Milwaukee, WI

Active since November 19, 2012PECOS EnrolledAccepts Medicare Assignment
2901 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215(414) 649-3750 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2024, May 25, 2022, Apr 12, 2022 and 1 more (4 updates tracked since 2021).

About Kelly A Kristbaum Np NPPES

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

KELLY A KRISTBAUM NP (NPI 1215271994) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in Wisconsin (5165) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1215271994
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY A KRISTBAUMCredential: NP
Location Address2901 W KINNICKINNIC RIVER PKWYMilwaukee, WI 53215-3677
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 19, 2012
Last NPPES UpdateNovember 20, 20244 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
NPI 1215271994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 5165
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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 154594 (WI)
2901 W KINNICKINNIC RIVER PKWY, Milwaukee, WI 53215

Other Names 1

Former Name (1)Kelly A Waszak

Other Identifiers 2

Medicaid1215271994WI
Medicaid100026864WI

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 A Kristbaum Np 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 ID143465252
PECOS Enrollment IDI20130320000492
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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 20

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

Nurse Practitioner
2901 W KINNICKINNIC RIVER PKWY, 305
MILWAUKEE, WI 53215
Nurse Practitioner
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Physical Therapist
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Nurse Practitioner
2901 W KINNICKINNIC RIVER PKWY, SUITE 106
MILWAUKEE, WI 53215
Physical Medicine & Rehabilitation
2901 W KINNICKINNIC RIVER PKWY, SUITE: 106
MILWAUKEE, WI 53215
Specialist (Research Study)
2901 W KINNICKINNIC RIVER PKWY, SUITE 414
MILWAUKEE, WI 53215
Physical Medicine & Rehabilitation
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Physician Assistant
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215

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 Kristbaum's NPI number?

The NPI number for Kelly Kristbaum is 1215271994. It was assigned to this individual provider in the NPPES registry on November 19, 2012. The provider is also known as Kelly A Waszak.

Where is Kelly Kristbaum located?

Kelly Kristbaum practices at 2901 W Kinnickinnic River Pkwy, Milwaukee, WI 53215. The listed phone number is (414) 649-3750.

What is Kelly Kristbaum's specialty?

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

Is Kelly Kristbaum enrolled in Medicare?

Yes. Kelly Kristbaum 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 Kristbaum accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Kelly Kristbaum 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 Kristbaum affiliated with any hospitals?

According to CMS data, Kelly Kristbaum is affiliated with Aurora St Lukes Medical Center and West Allis Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Kristbaum was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.