KELLY M MACKOWSKI APNP
NPI 1689204075
Nurse Practitioner - Family in Shawano, WI

Active since January 24, 2020PECOS EnrolledAccepts Medicare Assignment
100 COUNTY ROAD B, SHAWANO, WI 54166(715) 526-2111 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2022, Jan 31, 2020, Jan 24, 2020 (3 updates tracked since 2020).

About Kelly M Mackowski Apnp NPPES

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

KELLY M MACKOWSKI APNP (NPI 1689204075) is an individual family provider in Shawano, Wisconsin, licensed in Wisconsin (9839) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689204075
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY M MACKOWSKICredential: APNP
Location Address100 COUNTY ROAD BShawano, WI 54166-7072
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (715) 526-2111 · Fax (715) 526-7308
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 24, 2020
Last NPPES UpdateMay 25, 20223 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
NPI 1689204075 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 · 9839
100 COUNTY ROAD B, Shawano, WI 54166

Secondary Practice Locations 2

Location 11818 N Meade St Ste 130Appleton, WI 54911-3454 · Phone (920) 831-1841 · Fax (920) 831-1834
Location 2800 Riverside DrWaupaca, WI 54981-1943 · Phone (715) 258-1000

Accepted 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

Kelly M Mackowski 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 ID6507292604
PECOS Enrollment IDI20200210001007
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.

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54166 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.

Pharmacy (Community/Retail Pharmacy)
100 COUNTY ROAD B
SHAWANO, WI 54166
Surgery
100 COUNTY ROAD B
SHAWANO, WI 54166
Family Medicine
100 COUNTY ROAD B
SHAWANO, WI 54166
Occupational Therapist
100 COUNTY ROAD B
SHAWANO, WI 54166
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Physician Assistant
100 COUNTY ROAD B
SHAWANO, WI 54166

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 Mackowski's NPI number?

The NPI number for Kelly Mackowski is 1689204075. It was assigned to this individual provider in the NPPES registry on January 24, 2020.

Where is Kelly Mackowski located?

Kelly Mackowski practices at 100 County Road B, Shawano, WI 54166. The listed phone number is (715) 526-2111.

What is Kelly Mackowski's specialty?

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

Is Kelly Mackowski enrolled in Medicare?

Yes. Kelly Mackowski 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 Kelly Mackowski accept?

Health plans from CareSource (Common Ground Healthcare) list Kelly Mackowski 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 Mackowski affiliated with any hospitals?

According to CMS data, Kelly Mackowski is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Mackowski was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.