DR. KRISTEN ELIZABETH FOX M.D.
NPI 1356736185
Family Medicine in Waukesha, WI

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment
210 NW BARSTOW ST, SUITE 201, WAUKESHA, WI 53188(262) 548-6903 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kristen Elizabeth Fox M.d. NPPES

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

DR. KRISTEN ELIZABETH FOX M.D. (NPI 1356736185) is an individual family medicine provider in Waukesha, Wisconsin, licensed in Wisconsin (66335) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Medical College Of Wisconsin (2015).

NPPES Registry Identity

NPI1356736185
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KRISTEN ELIZABETH FOXCredential: M.D.
Location Address210 NW BARSTOW ST, SUITE 201Waukesha, WI 53188-3771
Mailing Address210 Nw Barstow St, Suite 201Waukesha, WI 53188-3771 · (262) 548-6903
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2015
Enumeration DateMarch 30, 2015
Last NPPES UpdateOctober 10, 2018
NPI 1356736185 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 · 66335
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.

210 NW BARSTOW ST, Waukesha, WI 53188

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. Kristen Elizabeth Fox M.d. 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 ID4587915483
PECOS Enrollment IDI20180914001913
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 4

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.
64 services25 patients
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.
28 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$70.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
210 NW BARSTOW ST, SUITE 201
WAUKESHA, WI 53188
Clinic/Center (Primary Care)
210 NW BARSTOW ST, SUITE 201
WAUKESHA, WI 53188
Dental Hygienist
210 NW BARSTOW ST, 305
WAUKESHA, WI 53188
Community/Behavioral Health
210 NW BARSTOW ST, SUITE 110
WAUKESHA, WI 53188
Counselor
210 NW BARSTOW ST, SUITE 201
WAUKESHA, WI 53188
Psychologist (Health)
210 NW BARSTOW ST, SUITE 201
WAUKESHA, WI 53188
Counselor (Addiction (Substance Use Disorder))
210 NW BARSTOW ST, SUITE 110
WAUKESHA, WI 53188
Family Medicine
210 NW BARSTOW ST, WAUKESHA FAMILY PRACTICE CENTER
WAUKESHA, WI 53188

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 Kristen Fox's NPI number?

The NPI number for Kristen Fox is 1356736185. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Kristen Fox located?

Kristen Fox practices at 210 NW Barstow St Suite 201, Waukesha, WI 53188. The listed phone number is (262) 548-6903.

What is Kristen Fox's specialty?

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

Is Kristen Fox enrolled in Medicare?

Yes. Kristen Fox 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 Kristen Fox accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Kristen Fox 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 Kristen Fox affiliated with any hospitals?

According to CMS data, Kristen Fox is affiliated with Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Fox was last updated on October 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.