JEREMY L KAUP PMHNP
NPI 1649970773
Nurse Practitioner - Psychiatric/Mental Health in Sturtevant, WI

Q: What is Jeremy Kaup's NPI number?

The NPI number for Jeremy Kaup is 1649970773. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Q: What is Jeremy Kaup's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Kaup was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 March 07, 2023PECOS EnrolledAccepts Medicare Assignment

3224 KENNSINGTON SQUARE RD, STURTEVANT, WI 53177(262) 762-9284(262) 419-3818 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2025, May 22, 2023, Mar 7, 2023 (3 updates tracked since 2023).

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About Jeremy L Kaup Pmhnp NPPES

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

JEREMY L KAUP PMHNP (NPI 1649970773) is an individual psychiatric/mental health provider in Sturtevant, Wisconsin, licensed in Wisconsin (13690-33) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1649970773

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJEREMY L KAUPCredential: PMHNP

Location Address3224 KENNSINGTON SQUARE RDSturtevant, WI 53177-2821

Mailing Address212 4th StRacine, WI 53403-1005 · (262) 206-0412 · Fax (262) 419-3818

Phone(262) 762-9284

Fax(262) 419-3818

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 7, 2023

Last NPPES UpdateFebruary 5, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2025

✔ NPI 1649970773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WI · 13690-33

Also ListedNurse PractitionerTaxonomy 363L00000X · License 13690-33 (WI)

3224 KENNSINGTON SQUARE RD, Sturtevant, WI 53177

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Jeremy L Kaup Pmhnp 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 ID8224493911

PECOS Enrollment IDI20230502002758

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 Reassignments

Medicare enrollment records show Jeremy Kaup reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional Services Group, Inc.

8.5 mi

Mental Health (Including Community Mental Health Center)

2108 63RD ST
Kenosha, WI 53143

Reassigned Medicare billing, Wisconsin enrollment
72 clinicians in this Medicare group

NPI 1619024262 (262) 652-2406

Ascension Medical Group-Southeast Wisconsin Inc

25 mi

Anesthesiology

2301 N LAKE DR
Milwaukee, WI 53211

Reassigned Medicare billing, Wisconsin enrollment
1,343 clinicians in this Medicare group

NPI 1194473066 (414) 585-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53177 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAY MATTER SOLUTIONS LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

3224 KENNSINGTON SQUARE RD
STURTEVANT, WI 53177

Racine County (262) 206-0412

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 Jeremy Kaup's NPI number?

The NPI number for Jeremy Kaup is 1649970773. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Where is Jeremy Kaup located?

Jeremy Kaup practices at 3224 Kennsington Square Rd, Sturtevant, WI 53177. The listed phone number is (262) 762-9284.

What is Jeremy Kaup's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jeremy Kaup enrolled in Medicare?

Yes. Jeremy Kaup 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 Jeremy Kaup's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Kaup reassigns Medicare benefits to 2 organizations: Professional Services Group, Inc. (Kenosha, WI) and Ascension Medical Group-Southeast Wisconsin 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 Jeremy Kaup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Kaup accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 7 other insurers list Jeremy Kaup 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 Jeremy Kaup was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.