KELLY SIDHU
NPI 1689069015
Nurse Practitioner - Family in Brookfield, WI

Q: What is Kelly Sidhu's NPI number?

The NPI number for Kelly Sidhu is 1689069015. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Q: What is Kelly Sidhu'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 Kelly Sidhu was last updated on February 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 02, 2015PECOS Enrolled

18740 W BLUEMOUND RD, BROOKFIELD, WI 53045(877) 307-3226 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelly Sidhu NPPES

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

KELLY SIDHU (NPI 1689069015) is an individual family provider in Brookfield, Wisconsin, licensed in Wisconsin (6312-33) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689069015

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY SIDHU

Location Address18740 W BLUEMOUND RDBrookfield, WI 53045-2936

Mailing AddressPo Box 474Hartland, WI 53029-0474

Phone(877) 307-3226

Sole ProprietorYes

Enumeration DateApril 2, 2015

Last NPPES UpdateFebruary 8, 2017

✔ NPI 1689069015 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 · 6312-33

18740 W BLUEMOUND RD, Brookfield, WI 53045

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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, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Sidhu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53045 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.

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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.

TAMARA ANTHONY LPN

Licensed Practical Nurse