KATHLEEN MARY NIEZGODA RN, MSN, CPNP, PMHS
NPI 1386049492
Nurse Practitioner - Pediatrics in Milwaukee, WI

Active since October 31, 2014PECOS Enrolled
2500 W LAYTON AVE, SUITE 30, MILWAUKEE, WI 53221(414) 269-5336(414) 269-5437 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kathleen Mary Niezgoda Rn, Msn, Cpnp, Pmhs NPPES

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

KATHLEEN MARY NIEZGODA RN, MSN, CPNP, PMHS (NPI 1386049492) is an individual pediatrics provider in Milwaukee, Wisconsin, licensed in Wisconsin (5744-33) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386049492
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHLEEN MARY NIEZGODACredential: RN, MSN, CPNP, PMHS
Location Address2500 W LAYTON AVE, SUITE 30Milwaukee, WI 53221-5420
Mailing Address2500 W Layton Ave, Suite 30Milwaukee, WI 53221-5420 · (414) 269-5336 · Fax (414) 269-5437
Fax(414) 269-5437
Sole ProprietorYes
Enumeration DateOctober 31, 2014
Last NPPES UpdateAugust 30, 2016
NPI 1386049492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in WI · 5744-33
2500 W LAYTON AVE, Milwaukee, WI 53221

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathleen Mary Niezgoda Rn, Msn, Cpnp, Pmhs 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53221 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.

Reported Quality Measures

Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%73 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine
2500 W LAYTON AVE, SUITE 250
MILWAUKEE, WI 53221
Internal Medicine
2500 W LAYTON AVE, SUITE 10
MILWAUKEE, WI 53221
Internal Medicine
2500 W LAYTON AVE, SUITE 250
MILWAUKEE, WI 53221
Internal Medicine (Cardiovascular Disease)
2500 W LAYTON AVE, SUITE 220
MILWAUKEE, WI 53221
Internal Medicine (Cardiovascular Disease)
2500 W LAYTON AVE, SUITE 200
MILWAUKEE, WI 53221
Physical Therapist
2500 W LAYTON AVE, SUITE 160
MILWAUKEE, WI 53221
Physical Therapist
2500 W LAYTON AVE, SUITE 160
MILWAUKEE, WI 53221
Physical Therapist
2500 W LAYTON AVE, SUITE 160
MILWAUKEE, WI 53221

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386049492, enumerated as an "individual" on October 31, 2014.

The provider is located at 2500 W LAYTON AVE SUITE 30 MILWAUKEE, WI 53221 and the phone number is (414) 269-5336.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.