MISS KELLY M WISCH NP
NPI 1376592543
Nurse Practitioner in Waunakee, WI

Active since May 08, 2006PECOS Enrolled
1300 S CENTURY AVE, WAUNAKEE, WI 53597(608) 849-4315(608) 850-1606 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2021, Dec 22, 2020, Jan 16, 2018 (3 updates tracked since 2018).

About Miss Kelly M Wisch Np NPPES

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

MISS KELLY M WISCH NP (NPI 1376592543) is an individual nurse practitioner in Waunakee, Wisconsin, licensed in Wisconsin (2345-033) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376592543
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISS KELLY M WISCHCredential: NP
Location Address1300 S CENTURY AVEWaunakee, WI 53597-2386
Mailing Address1300 S Century AveWaunakee, WI 53597-2386 · (608) 849-4315 · Fax (608) 850-1606
Fax(608) 850-1606
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateAugust 25, 20213 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
NPI 1376592543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 2345-033
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1300 S CENTURY AVE, Waunakee, WI 53597

Other Identifiers 1

Medicaid1376592543WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miss Kelly M Wisch Np 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.

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
233 services63 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
84 services52 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
33 services24 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53597 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 6

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers20 claims20 services$46.17 avg. paid by Medicare
Patient lift, electric with seat or sling E0635
DME-Other DME · category DE000N
1 supplier12 claims12 services$77.64 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier22 claims22 services$21.32 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier23 claims23 services$38.05 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$33.60 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier30 claims30 services$9.35 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 17

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

Physical Therapist
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Family Medicine
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Technician/Technologist (Optician)
1300 S CENTURY AVE, SUITE 200
WAUNAKEE, WI 53597
Family Medicine
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Nurse Practitioner
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Physician Assistant
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Nurse Practitioner
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Nurse Practitioner
1300 S CENTURY AVE
WAUNAKEE, WI 53597

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 Kelly Wisch's NPI number?

The NPI number for Kelly Wisch is 1376592543. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Kelly Wisch located?

Kelly Wisch practices at 1300 S Century Ave, Waunakee, WI 53597. The listed phone number is (608) 849-4315.

What is Kelly Wisch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Wisch enrolled in Medicare?

Yes. Kelly Wisch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Wisch was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.