KIMBERLY KATE MIZELLE APNP
NPI 1497632103
Nurse Practitioner - Family in Lake Geneva, WI

Q: What is Kimberly Mizelle's NPI number?

The NPI number for Kimberly Mizelle is 1497632103. It was assigned to this individual provider in the NPPES registry on August 18, 2025.

Q: What is Kimberly Mizelle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Mizelle was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since August 18, 2025PECOS EnrolledAccepts Medicare Assignment

N2950 STATE ROAD 67, LAKE GENEVA, WI 53147(262) 245-0535(262) 245-4627 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kimberly Kate Mizelle Apnp NPPES

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

KIMBERLY KATE MIZELLE APNP (NPI 1497632103) is an individual family provider in Lake Geneva, Wisconsin, licensed in Wisconsin (179925-30) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with Mercy Walworth Hospital & Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1497632103

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY KATE MIZELLECredential: APNP

Location AddressN2950 STATE ROAD 67Lake Geneva, WI 53147-2655

Mailing Address225 Grace StWalworth, WI 53184-9636 · (262) 745-9353

Phone(262) 245-0535

Fax(262) 245-4627

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 18, 2025

Last NPPES UpdateOctober 15, 2025

NPPES CertifiedOctober 15, 2025

✔ NPI 1497632103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 179925-30

N2950 STATE ROAD 67, Lake Geneva, WI 53147

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MercyCare Health Plans.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

Kimberly Kate Mizelle Apnp 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 ID8224527742

PECOS Enrollment IDI20251027000506

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.

Hospital Affiliations CMS Care Compare

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

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521357

LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53147 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.

JULIE A RICE LPC

Counselor (Professional)