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KATHLEEN JEANEEN SUMMERS NURSE PRACTITIONER
NPI 1255675799
Nurse Practitioner - Adult Health in Kenosha, WI

Active since November 21, 2012PECOS Enrolled
9244 29TH AVE, KENOSHA, WI 53143(262) 694-0080 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 30, 2021, Jun 25, 2021 (2 updates tracked since 2021).

About Kathleen Jeaneen Summers Nurse Practitioner NPPES

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

KATHLEEN JEANEEN SUMMERS NURSE PRACTITIONER (NPI 1255675799) is an individual adult health provider in Kenosha, Wisconsin, licensed in Wisconsin (10887-33) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255675799
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATHLEEN JEANEEN SUMMERSCredential: NURSE PRACTITIONER
Location Address9244 29TH AVEKenosha, WI 53143-6602
Mailing Address9019 29th AveKenosha, WI 53143-6601 · (262) 914-1063
Phone(262) 694-0080
Sole ProprietorNo
Enumeration DateNovember 21, 2012
Last NPPES UpdateJune 30, 20212 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
✔ NPI 1255675799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in WI · 10887-33
Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License 718-19 (WI)
9244 29TH AVE, Kenosha, WI 53143
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Jeaneen Summers Nurse Practitioner 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 53143 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 11

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

MRS. TINA M HEEBSH COTA
Occupational Therapy Assistant
9244 29TH AVE
KENOSHA, WI 53143
Kenosha County (262) 694-0080
LORI ANN FREISINGER OTR
Clinic/Center (Rehabilitation)
9244 29TH AVE, ATTN: THERAPY DEPT
KENOSHA, WI 53143
Kenosha County (262) 694-0080
MRS. SANDRA LEE JONAS O.T.
Occupational Therapist
9244 29TH AVE
KENOSHA, WI 53143
Kenosha County (262) 694-0080
SARAH GYURINA OTR
Occupational Therapist
9244 29TH AVE
KENOSHA, WI 53143
Kenosha County (262) 694-0080
TERESE NADBORALSKI
Occupational Therapist
9244 29TH AVE
KENOSHA, WI 53143
Kenosha County (262) 694-0080
MR. COLLIN SCOTT BARBER
Physical Therapist
9244 29TH AVE
KENOSHA, WI 53143
Kenosha County (262) 694-0080
MS. SARAH ANN DOSEMAGEN PTA
Physical Therapy Assistant
9244 29TH AVE
KENOSHA, WI 53143
Kenosha County (262) 694-0080
DIANNA KACZMAREK OTR
Occupational Therapist
9244 29TH AVE
KENOSHA, WI 53143
Kenosha County (262) 694-0080

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 Kathleen Summers's NPI number?

The NPI number for Kathleen Summers is 1255675799. It was assigned to this individual provider in the NPPES registry on November 21, 2012.

Where is Kathleen Summers located?

Kathleen Summers practices at 9244 29th Ave, Kenosha, WI 53143. The listed phone number is (262) 694-0080.

What is Kathleen Summers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kathleen Summers enrolled in Medicare?

Yes. Kathleen Summers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Summers was last updated on June 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.