KELSEY R GERENA NP
NPI 1477326536
Nurse Practitioner in Oak Creek, WI
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelsey Gerena reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Milwaukee, WI 53172
- Reassigned Medicare billing, Wisconsin enrollment
- 960 clinicians in this Medicare group
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Milwaukee, WI 53209
- Reassigned Medicare billing, Wisconsin enrollment
- 1,615 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.
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.
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.
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.
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.
Which organizations bill Medicare for Kelsey Gerena's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Gerena reassigns Medicare benefits to 3 organizations: Lakeshore Medical Clinic Ltd (South Milwaukee, WI), Aurora Medical Group, Inc. (Milwaukee, WI) and Aurora Advanced Healthcare, Inc. (Milwaukee, WI). Each 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 Kelsey Gerena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsey Gerena accept?
Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.