DR. KRISTIN LYNN OSGOOD KOTLEWSKI DDS
NPI 1316978026
Dentist - General Practice in Sturtevant, WI

Active since July 05, 2006Opted out of Medicare · through Jun 29, 2027
10155 WASHINGTON AVE, STURTEVANT, WI 53177(262) 884-3011(262) 664-7799 Get Directions Write a Review

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kristin Lynn Osgood Kotlewski Dds NPPES

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

DR. KRISTIN LYNN OSGOOD KOTLEWSKI DDS (NPI 1316978026) is an individual general practice provider in Sturtevant, Wisconsin, licensed in Wisconsin (4902) and active in the NPI registry since July 2006. She has opted out of Medicare through June 29, 2027 and maintains a secondary practice location in Wauwatosa.

NPPES Registry Identity

NPI1316978026
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KRISTIN LYNN OSGOOD KOTLEWSKICredential: DDS
Location Address10155 WASHINGTON AVESturtevant, WI 53177-1645
Mailing Address4554 W Alesci DrFranklin, WI 53132-8170 · (414) 423-5665
Fax(262) 664-7799
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateDecember 18, 2018
NPI 1316978026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 4902
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 4902 (WI)
10155 WASHINGTON AVE, Sturtevant, WI 53177

Other Names 1

Former Name (1)Kristin L Osgood

Secondary Practice Location 1

Location 111711 W Burleigh StWauwatosa, WI 53222-3108 · Phone (414) 771-2345

Other Identifiers 1

Medicaid33742300WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Kristin Lynn Osgood Kotlewski Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 29, 2021 through June 29, 2027.

Opt-Out Effective DateJune 29, 2021
Opt-Out In Effect ThroughJune 29, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Dentist (Periodontics)
10155 WASHINGTON AVE
STURTEVANT, WI 53177
Dentist (Prosthodontics)
10155 WASHINGTON AVE
STURTEVANT, WI 53177
Dentist (General Practice)
10155 WASHINGTON AVE
STURTEVANT, WI 53177
Dentist (Pediatric Dentistry)
10155 WASHINGTON AVE
STURTEVANT, WI 53177
Dentist (General Practice)
10155 WASHINGTON AVE
STURTEVANT, WI 53177
Dentist (General Practice)
10155 WASHINGTON AVE
STURTEVANT, WI 53177
Dentist (General Practice)
10155 WASHINGTON AVE
STURTEVANT, WI 53177
Dentist (General Practice)
10155 WASHINGTON AVE
STURTEVANT, WI 53177

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 Kristin Osgood Kotlewski's NPI number?

The NPI number for Kristin Osgood Kotlewski is 1316978026. It was assigned to this individual provider in the NPPES registry on July 5, 2006. The provider is also known as Kristin L Osgood.

Where is Kristin Osgood Kotlewski located?

Kristin Osgood Kotlewski practices at 10155 Washington Ave, Sturtevant, WI 53177. The listed phone number is (262) 884-3011.

What is Kristin Osgood Kotlewski's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kristin Osgood Kotlewski enrolled in Medicare?

No. Kristin Osgood Kotlewski has opted out of Medicare through June 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kristin Osgood Kotlewski accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Companion Life Insurance Company and 7 other insurers list Kristin Osgood Kotlewski 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 Kristin Osgood Kotlewski was last updated on December 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.