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KATHLEEN MARIE ELERTSON NP
NPI 1396104725
Nurse Practitioner in Shawano, WI

Active since February 12, 2016
100 COUNTY ROAD B, SHAWANO, WI 54166(715) 524-2161 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2021, Feb 12, 2016 (2 updates tracked since 2016).

About Kathleen Marie Elertson Np NPPES

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

KATHLEEN MARIE ELERTSON NP (NPI 1396104725) is an individual nurse practitioner in Shawano, Wisconsin, licensed in Wisconsin (3598-033) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1396104725
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHLEEN MARIE ELERTSONCredential: NP
Location Address100 COUNTY ROAD BShawano, WI 54166-7072
Mailing Address4939 Morning Glory DrWest Bend, WI 53095-8758 · (262) 305-2917
Phone(715) 524-2161
Sole ProprietorYes
Enumeration DateFebruary 12, 2016
Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1396104725 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 · 3598-033
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.
100 COUNTY ROAD B, Shawano, WI 54166
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

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.

SHOPKO STORES OPERATING CO., LLC
Pharmacy (Community/Retail Pharmacy)
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (920) 429-4726
MR. DAVID A KLOSS M.D.
Surgery
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 524-2161
DR. MINDY MARIA FRIMODIG DO
Family Medicine
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 524-2161
CAROLYN ANNE FLOOD OTR/L
Occupational Therapist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 526-7370
WILL GILLIS PHARMD
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 526-3456
RACHEL NAULT PHARMD
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 524-2161
ALEXIS VANDEHEY
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (920) 203-0630
JENNA J MULDER
Physician Assistant
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 526-2111

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 Kathleen Elertson's NPI number?

The NPI number for Kathleen Elertson is 1396104725. It was assigned to this individual provider in the NPPES registry on February 12, 2016.

Where is Kathleen Elertson located?

Kathleen Elertson practices at 100 County Road B, Shawano, WI 54166. The listed phone number is (715) 524-2161.

What is Kathleen Elertson's specialty?

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

What insurance does Kathleen Elertson accept?

Health plans from CareSource (Common Ground Healthcare) list Kathleen Elertson 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 Kathleen Elertson was last updated on December 2, 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.