KIRSTEN HOLLY MACGRATH MSN, FNP
NPI 1700370194
Nurse Practitioner in Pulaski, WI

Active since June 19, 2018PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
940 S SAINT AUGUSTINE ST, PULASKI, WI 54162(920) 822-5444 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 13, 2018, Jun 19, 2018 (2 updates tracked since 2018).

About Kirsten Holly Macgrath Msn, Fnp NPPES

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

KIRSTEN HOLLY MACGRATH MSN, FNP (NPI 1700370194) is an individual nurse practitioner in Pulaski, Wisconsin, licensed in Wisconsin (8628-33) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of George Washington University School Of Medicine (2018).

NPPES Registry Identity

NPI1700370194
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIRSTEN HOLLY MACGRATHCredential: MSN, FNP
Location Address940 S SAINT AUGUSTINE STPulaski, WI 54162-9453
Mailing Address940 S Saint Augustine StPulaski, WI 54162-9453 · (920) 883-1232
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2018
Enumeration DateJune 19, 2018
Last NPPES UpdateSeptember 13, 20182 updates tracked since enumeration
✔ NPI 1700370194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 8628-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 170420 (WI)
940 S SAINT AUGUSTINE ST, Pulaski, WI 54162

Accepted 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

Kirsten Holly Macgrath Msn, 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 ID547512253
PECOS Enrollment IDI20181008002844
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

4

Medicare enrollment records show Kirsten Macgrath reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
Internal Medicine
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 190 clinicians in this Medicare group
Critical Access
855 S MAIN ST
Oconto Falls, WI 54154
  • Reassigned Medicare billing, Wisconsin enrollment
  • 216 clinicians in this Medicare group
Internal Medicine
3113 SAEMANN AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services54 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Hshs St Clare Memorial Hospital

Critical Access Hospitals · Oconto Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521310
Location855 S Main StOconto Falls, WI 54154 · Oconto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54162 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Physician Assistant
940 S SAINT AUGUSTINE ST
PULASKI, WI 54162
Physical Therapist
940 S SAINT AUGUSTINE ST
PULASKI, WI 54162
Nurse Practitioner (Family)
940 S SAINT AUGUSTINE ST
PULASKI, WI 54162
Family Medicine
940 S SAINT AUGUSTINE ST
PULASKI, WI 54162
Family Medicine
940 S SAINT AUGUSTINE ST
PULASKI, WI 54162
Physical Therapist
940 S SAINT AUGUSTINE ST
PULASKI, WI 54162
Durable Medical Equipment & Medical Supplies
940 S SAINT AUGUSTINE ST
PULASKI, WI 54162
Nurse Practitioner
940 S SAINT AUGUSTINE ST
PULASKI, WI 54162

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 Kirsten Macgrath's NPI number?

The NPI number for Kirsten Macgrath is 1700370194. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Kirsten Macgrath located?

Kirsten Macgrath practices at 940 S Saint Augustine St, Pulaski, WI 54162. The listed phone number is (920) 822-5444.

What is Kirsten Macgrath's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kirsten Macgrath enrolled in Medicare?

Yes. Kirsten Macgrath 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 Kirsten Macgrath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kirsten Macgrath reassigns Medicare benefits to 4 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI), Prevea Clinic, Inc. (Green Bay, WI), St Clare Memorial Hospital, Inc (Oconto Falls, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, 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 Kirsten Macgrath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kirsten Macgrath accept?

Health plans from Dean Health Plan list Kirsten Macgrath 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 Kirsten Macgrath affiliated with any hospitals?

According to CMS data, Kirsten Macgrath is affiliated with St Vincent Hospital and Hshs St Clare Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kirsten Macgrath was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.