DR. KEARA JAE KANGAS PHD
NPI 1376469353
Clinical Neuropsychologist in Brown Deer, WI
About Dr. Keara Jae Kangas Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEARA JAE KANGAS PHD (NPI 1376469353) is an individual clinical neuropsychologist in Brown Deer, Wisconsin, licensed in Michigan (6301019775) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Keara Jae Kangas Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Keara Kangas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kingsford, MI 49802
- Reassigned Medicare billing, Michigan enrollment
- 440 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Keara Kangas's NPI number?
The NPI number for Keara Kangas is 1376469353. It was assigned to this individual provider in the NPPES registry on June 25, 2026.
Where is Keara Kangas located?
Keara Kangas practices at 8038 N 65th St, Brown Deer, WI 53223. The listed phone number is (906) 361-6922.
What is Keara Kangas's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Keara Kangas enrolled in Medicare?
Yes. Keara Kangas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Keara Kangas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keara Kangas reassigns Medicare benefits to Dlp Marquette Physician Practices Inc (Kingsford, MI). The 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 Keara Kangas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keara Kangas was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Keara Jae Kangas, PHD · NPI 1376469353
Clinical Neuropsychologist provider in Brown Deer, Wisconsin. Individual provider, active in the CMS NPPES registry since June 25, 2026.
## Identity
- **NPI:** 1376469353 (Entity type: Individual)
- **Enumerated:** June 25, 2026
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **State license:** 6301019775 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 8038 N 65TH ST, Brown Deer, WI 53223-3409
- **Phone:** (906) 361-6922
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Dlp Marquette Physician Practices Inc (NPI 1346598844, Kingsford, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 25, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1376469353) · Data from the CMS NPPES public registry.