DR. KIMBERLY ANNE WARDON PMHNP-DNP
NPI 1295376937
Nurse Practitioner - Psychiatric/Mental Health in Milwaukee, WI

Active since October 03, 2019PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
2301 N LAKE DR, MILWAUKEE, WI 53211(414) 585-1000 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2023, Oct 23, 2019, Oct 3, 2019 (3 updates tracked since 2019).

About Dr. Kimberly Anne Wardon Pmhnp-dnp NPPES

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

DR. KIMBERLY ANNE WARDON PMHNP-DNP (NPI 1295376937) is an individual psychiatric/mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (9648) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Rush Medical College Of Rush University (2019).

NPPES Registry Identity

NPI1295376937
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. KIMBERLY ANNE WARDONCredential: PMHNP-DNP
Location Address2301 N LAKE DRMilwaukee, WI 53211-4508
Mailing Address3209 W Daniel StChampaign, IL 61821-3452 · (217) 799-7619
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2019
Enumeration DateOctober 3, 2019
Last NPPES UpdateOctober 9, 20233 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
NPI 1295376937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WI · 9648
Also ListedNurse PractitionerTaxonomy 363L00000X · License 9648 (WI)
2301 N LAKE DR, Milwaukee, WI 53211

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

Dr. Kimberly Anne Wardon Pmhnp-dnp 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 ID1557693140
PECOS Enrollment IDI20191031001584
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
83 services26 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
42 services36 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

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.

Dietitian, Registered
2301 N LAKE DR
MILWAUKEE, WI 53211
Student in an Organized Health Care Education/Training Program
2301 N LAKE DR
MILWAUKEE, WI 53211
Student in an Organized Health Care Education/Training Program
2301 N LAKE DR
MILWAUKEE, WI 53211
Recreation Therapist
2301 N LAKE DR
MILWAUKEE, WI 53211
Nurse Practitioner (Acute Care)
2301 N LAKE DR
MILWAUKEE, WI 53211
Recreation Therapist
2301 N LAKE DR
MILWAUKEE, WI 53211
Physical Therapy Assistant
2301 N LAKE DR
MILWAUKEE, WI 53211
Emergency Medicine
2301 N LAKE DR
MILWAUKEE, WI 53211

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 Kimberly Wardon's NPI number?

The NPI number for Kimberly Wardon is 1295376937. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Where is Kimberly Wardon located?

Kimberly Wardon practices at 2301 N Lake Dr, Milwaukee, WI 53211. The listed phone number is (414) 585-1000.

What is Kimberly Wardon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kimberly Wardon enrolled in Medicare?

Yes. Kimberly Wardon 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 Kimberly Wardon accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Kimberly Wardon 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 Kimberly Wardon affiliated with any hospitals?

According to CMS data, Kimberly Wardon is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Ascension St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Wardon was last updated on October 9, 2023. 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.