KELSEY R GERENA NP
NPI 1477326536
Nurse Practitioner in Oak Creek, WI

Active since November 01, 2023PECOS EnrolledAccepts Medicare Assignment
200 E RYAN RD, OAK CREEK, WI 53154(414) 570-4330 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelsey R Gerena Np NPPES

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

KELSEY R GERENA NP (NPI 1477326536) is an individual nurse practitioner in Oak Creek, Wisconsin, licensed in Wisconsin (14143) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1477326536
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELSEY R GERENACredential: NP
Location Address200 E RYAN RDOak Creek, WI 53154-4563
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 1, 2023
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
NPI 1477326536 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 · 14143
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.

200 E RYAN RD, Oak Creek, WI 53154

Other Identifiers 1

Medicaid100259788WI

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

Kelsey R Gerena Np 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 ID7517315179
PECOS Enrollment IDI20231121001734
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.

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.
35 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services29 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
13 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53154 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.

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.

Physician Assistant
200 E RYAN RD
OAK CREEK, WI 53154
Pediatrics
200 E RYAN RD
OAK CREEK, WI 53154
Family Medicine
200 E RYAN RD
OAK CREEK, WI 53154
Family Medicine
200 E RYAN RD
OAK CREEK, WI 53154
Physical Therapist
200 E RYAN RD
OAK CREEK, WI 53154
Psychiatry & Neurology (Neurology)
200 E RYAN RD
OAK CREEK, WI 53154
Emergency Medicine
200 E RYAN RD
OAK CREEK, WI 53154
Orthopaedic Surgery (Foot and Ankle Surgery)
200 E RYAN RD
OAK CREEK, WI 53154

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 Kelsey Gerena's NPI number?

The NPI number for Kelsey Gerena is 1477326536. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Where is Kelsey Gerena located?

Kelsey Gerena practices at 200 E Ryan Rd, Oak Creek, WI 53154. The listed phone number is (414) 570-4330.

What is Kelsey Gerena's specialty?

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

Is Kelsey Gerena enrolled in Medicare?

Yes. Kelsey Gerena 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 Kelsey Gerena accept?

Health plans from CareSource (Common Ground Healthcare) list Kelsey Gerena 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 Kelsey Gerena was last updated on January 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.