1. Home
  2. Directory
  3. Wisconsin
  4. Waukesha
  5. Family Medicine
  6. NPI Profile

DR. KIRSTIN M CERTALIC DO
NPI 1275542326
Family Medicine in Waukesha, WI

Active since August 07, 2006PECOS Enrolled
2315 E MORELAND BLVD, WESTBROOK WALK-IN CLINIC, WAUKESHA, WI 53186(262) 532-5800(262) 532-5760 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kirstin M Certalic Do NPPES

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

DR. KIRSTIN M CERTALIC DO (NPI 1275542326) is an individual family medicine provider in Waukesha, Wisconsin, licensed in Wisconsin (40646) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275542326
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIRSTIN M CERTALICCredential: DO
Location Address2315 E MORELAND BLVD, WESTBROOK WALK-IN CLINICWaukesha, WI 53186-2939
Mailing Address2315 E Moreland Blvd, Westbrook Walk-in ClinicWaukesha, WI 53186-2939 · (262) 532-5800 · Fax (262) 532-5760
Phone(262) 532-5800
Fax(262) 532-5760
Sole ProprietorNo
Enumeration DateAugust 7, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1275542326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 40646
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2315 E MORELAND BLVD, Waukesha, WI 53186
Open in Google Maps ↗

Other Names 1

Former Name (1)Kirstin Maureen Crowe

Other Identifiers 2

Medicaid1275542326WI
Medicaid30091900WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kirstin M Certalic Do 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.

Medicare Billing Reassignment

Medicare enrollment records show Kirstin Certalic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dignity Community Care
1,447 mi
General Acute Care Hospital
475 S DOBSON RD
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 25 clinicians in this Medicare group
NPI 1700910189 (480) 963-4561

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 53186 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 13

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

DR. DENNIS BANEZ ZAIDE M.D.
Internal Medicine
2315 E MORELAND BLVD, WESTBROOK PRIMARY CARE AND OB/GYN CLINIC
WAUKESHA, WI 53186
Waukesha County (262) 352-5700
CAITLIN M SCHUELLER DNP, APNP, FNP
Nurse Practitioner
2315 E MORELAND BLVD
WAUKESHA, WI 53186
Waukesha County (262) 532-5700
MRS. LAURIE B.D. BENKLEY NP-C
Nurse Practitioner (Family)
2315 E MORELAND BLVD, WESTBROOK WALK-IN CLINIC
WAUKESHA, WI 53186
Waukesha County (262) 532-5800
MELISSA A KALT MD
Internal Medicine
2315 E MORELAND BLVD
WAUKESHA, WI 53186
Waukesha County (262) 532-5700
MS. MANDY LYNN PORTER DOSTI M.S., PA-C
Physician Assistant
2315 E MORELAND BLVD
WAUKESHA, WI 53186
Waukesha County (262) 532-5700
JENNIFER FRANZ APNP
Nurse Practitioner
2315 E MORELAND BLVD
WAUKESHA, WI 53186
Waukesha County (262) 532-5700
DR. AGGELIKI ZIKOS M.D.
Internal Medicine
2315 E MORELAND BLVD, WESTBROOK HEALTH CENTER
WAUKESHA, WI 53186
Waukesha County (262) 532-5700
DR. MARIA G ILAO-PAHM MD
Family Medicine
2315 E MORELAND BLVD, WESTBROOK WALK-IN CLINIC
WAUKESHA, WI 53186
Waukesha County (262) 532-5800

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 Kirstin Certalic's NPI number?

The NPI number for Kirstin Certalic is 1275542326. It was assigned to this individual provider in the NPPES registry on August 7, 2006. The provider is also known as Kirstin Maureen Crowe.

Where is Kirstin Certalic located?

Kirstin Certalic practices at 2315 E Moreland Blvd Westbrook Walk-In Clinic, Waukesha, WI 53186. The listed phone number is (262) 532-5800.

What is Kirstin Certalic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kirstin Certalic enrolled in Medicare?

Yes. Kirstin Certalic is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kirstin Certalic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kirstin Certalic reassigns Medicare benefits to Dignity Community Care (Chandler, AZ). 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 Kirstin Certalic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kirstin Certalic was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.