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IMELDA N FORSBERG NURSE PRACTITIONER
NPI 1306027891
Nurse Practitioner - Psychiatric/Mental Health in Kenosha, WI

Active since November 26, 2007PECOS Enrolled
6123 GREEN BAY RD STE 120, KENOSHA, WI 53142(262) 358-2954 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2026, Feb 7, 2025, Sep 14, 2018 and 2 more (5 updates tracked since 2017).

About Imelda N Forsberg Nurse Practitioner NPPES

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

IMELDA N FORSBERG NURSE PRACTITIONER (NPI 1306027891) is an individual psychiatric/mental health provider in Kenosha, Wisconsin, licensed in Wisconsin (4854-33) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306027891
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameIMELDA N FORSBERGCredential: NURSE PRACTITIONER
Location Address6123 GREEN BAY RD STE 120Kenosha, WI 53142-2927
Mailing Address6123 Green Bay Rd Ste 120Kenosha, WI 53142-2927 · (262) 358-2954
Phone(262) 358-2954
Sole ProprietorYes
Enumeration DateNovember 26, 2007
Last NPPES UpdateJune 3, 20265 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1306027891 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
Licenses✔ Licensed in WI · 4854-33✔ Licensed in IL · 277004152
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 277004152 (IL), 4854-33 (WI)
6123 GREEN BAY RD STE 120, Kenosha, WI 53142
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1111 S Washington Ave Ste 202Park Ridge, IL 60068-4293 · Phone (847) 423-6800
Location 23536 52nd St Ste 1BKenosha, WI 53144-2662 · Phone (262) 925-0535 · Fax (262) 925-0538

Other Identifiers 2

Other277004152IL · Full Practice Authority Fpa
Other4854-33WI · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imelda N Forsberg 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Imelda Forsberg reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optimal Health & Balance LLC
Same address
Mental Health (Including Community Mental Health Center)
6123 GREEN BAY RD STE 120
Kenosha, WI 53142
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1255072708 (262) 358-2954
Kenosha Urgicare
0.3 mi
Urgent Care
6430 S GREEN BAY RD, SUITE 104
Kenosha, WI 53142
  • Reassigned Medicare billing, Wisconsin enrollment
  • 6 clinicians in this Medicare group
NPI 1629373204 (262) 925-0535
Lake County Acute Care, LLP
14 mi
Family Medicine
1445 HUNT CLUB RD, SUITE 101
Gurnee, IL 60031
  • Reassigned Medicare billing, Illinois enrollment
  • 38 clinicians in this Medicare group
NPI 1861599052 (847) 855-0550
Minuteclinic Diagnostic Of Illinois PLLC
74 mi
Family
11200 W LINCOLN HWY
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 223 clinicians in this Medicare group
NPI 1356485809 (866) 389-2727

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 53142 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 2

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

OPTIMAL HEALTH & BALANCE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
6123 GREEN BAY RD STE 120
KENOSHA, WI 53142
Kenosha County (262) 358-2954
RODRIGO B MATA III, M.D., S.C.
Internal Medicine
6123 GREEN BAY RD STE 120
KENOSHA, WI 53142
Kenosha County (262) 652-2710

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 Imelda Forsberg's NPI number?

The NPI number for Imelda Forsberg is 1306027891. It was assigned to this individual provider in the NPPES registry on November 26, 2007.

Where is Imelda Forsberg located?

Imelda Forsberg practices at 6123 Green Bay Rd Ste 120, Kenosha, WI 53142. The listed phone number is (262) 358-2954.

What is Imelda Forsberg's specialty?

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

Is Imelda Forsberg enrolled in Medicare?

Yes. Imelda Forsberg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Imelda Forsberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Imelda Forsberg reassigns Medicare benefits to 4 organizations: Optimal Health & Balance LLC (Kenosha, WI), Kenosha Urgicare (Kenosha, WI), Lake County Acute Care, LLP (Gurnee, IL) and Minuteclinic Diagnostic Of Illinois PLLC (Mokena, IL). Each 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 Imelda Forsberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Imelda Forsberg accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Imelda Forsberg 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 Imelda Forsberg was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.