MARILYNN KLEMSTEIN NP
NPI 1316377294
Nurse Practitioner - Family in Elm Grove, WI

Q: What is Marilynn Klemstein's NPI number?

The NPI number for Marilynn Klemstein is 1316377294. It was assigned to this individual provider in the NPPES registry on November 14, 2013.

Q: What is Marilynn Klemstein's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 14, 2013PECOS EnrolledAccepts Medicare Assignment

82.39/100

CMS Quality Rating

12500 W BLUEMOUND RD, SUITE 201, ELM GROVE, WI 53122(262) 787-2114 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marilynn Klemstein Np NPPES

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

MARILYNN KLEMSTEIN NP (NPI 1316377294) is an individual family provider in Elm Grove, Wisconsin, licensed in Wisconsin (5549) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1316377294

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARILYNN KLEMSTEINCredential: NP

Location Address12500 W BLUEMOUND RD, SUITE 201Elm Grove, WI 53122-2600

Mailing Address12500 W Bluemound Rd, Suite 201Elm Grove, WI 53122-2600 · (262) 787-2114

Phone(262) 787-2114

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 14, 2013

Last NPPES UpdateNovember 7, 2018

✔ NPI 1316377294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 5549

12500 W BLUEMOUND RD, Elm Grove, WI 53122

Open in Google Maps ↗

Accepted Insurance

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

Marilynn Klemstein Np 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 ID9234368234

PECOS Enrollment IDI20140218000441

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

79 services63 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

24 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520136

Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County

Emergency services Birthing friendly

Midwest Orthopedic Specialty Hospital

Acute Care Hospitals · Franklin, WI

OwnershipPhysician

CMS Certification Number520205

Location10101 South 27th St 2nd FloorFranklin, WI 53132 · Milwaukee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53122 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.

82.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.88

Promoting Interoperability

Improvement Activities

Cost

74.38

Other Providers at the Same Location NPPES 7

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

HOLLY DORSCHEID PHARMD

Pharmacist

12500 W BLUEMOUND RD
ELM GROVE, WI 53122

Waukesha County (262) 957-8239

DR. MARISA KAY GONINEN PHARMD

Pharmacist (Ambulatory Care)

12500 W BLUEMOUND RD
ELM GROVE, WI 53122

Waukesha County (262) 957-8239

AURORA PHARMACY, INC.

Pharmacy

12500 W BLUEMOUND RD, SUITE 201
ELM GROVE, WI 53122

Waukesha County (262) 787-2136

JESSE SCHAETZEL PHARMD

Pharmacist

12500 W BLUEMOUND RD
ELM GROVE, WI 53122

Waukesha County (262) 787-2450

ERICA CONLEY PHARMD, BCPS

Pharmacist

12500 W BLUEMOUND RD
ELM GROVE, WI 53122

Waukesha County (262) 957-8239

AURORA HEALTH CARE VENURES, INC

Pharmacy

12500 W BLUEMOUND RD, SUITE 201
ELM GROVE, WI 53122

Waukesha County (262) 787-2136

AURORA RETAIL STORES, INC.

Durable Medical Equipment & Medical Supplies

12500 W BLUEMOUND RD, SUITE 201
ELM GROVE, WI 53122

Waukesha County (262) 787-2135

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 Marilynn Klemstein's NPI number?

The NPI number for Marilynn Klemstein is 1316377294. It was assigned to this individual provider in the NPPES registry on November 14, 2013.

Where is Marilynn Klemstein located?

Marilynn Klemstein practices at 12500 W Bluemound Rd Suite 201, Elm Grove, WI 53122. The listed phone number is (262) 787-2114.

What is Marilynn Klemstein's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marilynn Klemstein enrolled in Medicare?

Yes. Marilynn Klemstein 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 Marilynn Klemstein accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Marilynn Klemstein 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 Marilynn Klemstein affiliated with any hospitals?

According to CMS data, Marilynn Klemstein is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital, Ascension SE Wisconsin Hospital and Midwest Orthopedic Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Marilynn Klemstein was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.