KATHLEEN JEANEEN SUMMERS NURSE PRACTITIONER
NPI 1255675799
Nurse Practitioner - Adult Health in Kenosha, WI
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 and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathleen Jeaneen Summers Nurse Practitioner 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.
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Summers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53202
- Reassigned Medicare billing, Wisconsin enrollment
- 27 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 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.
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.
KENOSHA, WI 53143
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kathleen Summers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Summers reassigns Medicare benefits to Bluestone Physician Services Wisconsin Sc (Milwaukee, WI). The 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 Kathleen Summers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Summers accept?
Health plans from Anthem Blue Cross and Blue Shield and Dean Health Plan list Kathleen Summers 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 Kathleen Summers was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kathleen Jeaneen Summers, NURSE PRACTITIONER · NPI 1255675799
Adult Health physician in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since November 21, 2012.
## Identity
- **NPI:** 1255675799 (Entity type: Individual)
- **Enumerated:** November 21, 2012
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 10887-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 9244 29TH AVE, Kenosha, WI 53143-6602
- **Phone:** (262) 694-0080
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Bluestone Physician Services Wisconsin Sc (NPI 1922497908, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 30, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1255675799) · Data from the CMS NPPES public registry.