KELLY BRANSTROM NP
NPI 1497202303
Nurse Practitioner in Neenah, WI

Active since September 08, 2016PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 18, 2024, Nov 30, 2021, Mar 29, 2018 and 3 more (6 updates tracked since 2016).

About Kelly Branstrom Np NPPES

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

KELLY BRANSTROM NP (NPI 1497202303) is an individual nurse practitioner in Neenah, Wisconsin, licensed in Wisconsin (7235-033) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and maintains a secondary practice location in Neenah.

NPPES Registry Identity

NPI1497202303
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY BRANSTROMCredential: NP
Location Address130 2ND STNeenah, WI 54956-2883
Mailing Address855 N Westhaven DrOshkosh, WI 54904-7668 · (920) 303-8700 · Fax (920) 303-8984
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 8, 2016
Last NPPES UpdateSeptember 18, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1497202303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 7235-033
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 171753-30 (WI)
130 2ND ST, Neenah, WI 54956

Other Names 1

Former Name (1)Kelly Cihowiak Np

Secondary Practice Location 1

Location 1130 2nd StNeenah, WI 54956-2883 · Phone (920) 725-2070

Other Identifiers 1

Medicaid100062155WI

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

Kelly Branstrom 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 ID6709165764
PECOS Enrollment IDI20161115000136
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Branstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 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 2

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.
65 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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.

Pharmacist
130 2ND ST
NEENAH, WI 54956
Nurse Anesthetist, Certified Registered
130 2ND ST, STE. A107
NEENAH, WI 54956
Occupational Therapist
130 2ND ST
NEENAH, WI 54956
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Nurse Anesthetist, Certified Registered
130 2ND ST
NEENAH, WI 54956
Pediatrics (Neonatal-Perinatal Medicine)
130 2ND ST
NEENAH, WI 54956
Physical Therapist
130 2ND ST
NEENAH, WI 54956

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 Branstrom's NPI number?

The NPI number for Kelly Branstrom is 1497202303. It was assigned to this individual provider in the NPPES registry on September 8, 2016. The provider is also known as Kelly Cihowiak Np.

Where is Kelly Branstrom located?

Kelly Branstrom practices at 130 2nd St, Neenah, WI 54956. The listed phone number is (920) 725-2070.

What is Kelly Branstrom's specialty?

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

Is Kelly Branstrom enrolled in Medicare?

Yes. Kelly Branstrom 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 organization bills Medicare for Kelly Branstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Branstrom reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, WI). The 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 Kelly Branstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Branstrom accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Kelly Branstrom 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.

Is Kelly Branstrom affiliated with any hospitals?

According to CMS data, Kelly Branstrom is affiliated with Aurora Medical Ctr Oshkosh.

When was this NPI record last updated?

The NPPES record for Kelly Branstrom was last updated on September 18, 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.