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KATHLEEN MICHELLE HEINEN FNP
NPI 1679288732
Nurse Practitioner - Family in Kohler, WI

Active since January 23, 2023PECOS EnrolledAccepts Medicare Assignment
950 WOODLAKE RD, KOHLER, WI 53044(920) 496-4700 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2025, Feb 25, 2025, Oct 1, 2024 and 1 more (4 updates tracked since 2023).

About Kathleen Michelle Heinen Fnp NPPES

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

KATHLEEN MICHELLE HEINEN FNP (NPI 1679288732) is an individual family provider in Kohler, Wisconsin, licensed in Wisconsin (14952-33) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1679288732
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN MICHELLE HEINENCredential: FNP
Location Address950 WOODLAKE RDKohler, WI 53044-1348
Mailing Address1112 Plankview Green BlvdSheboygan Falls, WI 53085-3393 · (920) 234-3065
Phone(920) 496-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 23, 2023
Last NPPES UpdateMay 15, 20254 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1679288732 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 · 14952-33
950 WOODLAKE RD, Kohler, WI 53044
Open in Google Maps ↗

Other Identifiers 1

Medicaid100308888WI

Accepted Insurance

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

Kathleen Michelle Heinen Fnp 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 ID3375067549
PECOS Enrollment IDI20250409001057
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.

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53044 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 11

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

MRS. JAYME E AGUERO APNP
Nurse Practitioner (Family)
950 WOODLAKE RD
KOHLER, WI 53044
Sheboygan County (920) 496-4700
CHERYL A PAUL PA
Physician Assistant
950 WOODLAKE RD
KOHLER, WI 53044
Sheboygan County (920) 496-4700
JONATHAN D SHUIT APNP
Nurse Practitioner (Family)
950 WOODLAKE RD
KOHLER, WI 53044
Sheboygan County (920) 496-4700
MRS. KATHRYN DOREEN ZELLNER-PERRONNE MSN, APNP, FNP-BC
Nurse Practitioner (Family)
950 WOODLAKE RD
KOHLER, WI 53044
Sheboygan County (920) 783-3150
MRS. SARAH BUSTOS M.D.
Family Medicine
950 WOODLAKE RD
KOHLER, WI 53044
Sheboygan County (920) 496-4700
ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST. FRANCIS
General Practice
950 WOODLAKE RD
KOHLER, WI 53044
Sheboygan County (920) 496-4700
LAUREN BARBER APNP
Nurse Practitioner
950 WOODLAKE RD
KOHLER, WI 53044
Sheboygan County (920) 783-3150
TREVOR M. MCCULLEY DPT
Physical Therapist
950 WOODLAKE RD
KOHLER, WI 53044
Sheboygan County (920) 496-4700

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 Kathleen Heinen's NPI number?

The NPI number for Kathleen Heinen is 1679288732. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Kathleen Heinen located?

Kathleen Heinen practices at 950 Woodlake Rd, Kohler, WI 53044. The listed phone number is (920) 496-4700.

What is Kathleen Heinen's specialty?

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

Is Kathleen Heinen enrolled in Medicare?

Yes. Kathleen Heinen 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 Kathleen Heinen accept?

Health plans from Anthem Blue Cross and Blue Shield list Kathleen Heinen 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 Kathleen Heinen affiliated with any hospitals?

According to CMS data, Kathleen Heinen is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Heinen was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.