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MISS KIM A MITTELSTADT APNP
NPI 1710172614
Nurse Practitioner in Appleton, WI

Active since September 13, 2007PECOS Enrolled
2500 E CAPITOL DR, SUITE 1700, APPLETON, WI 54911(920) 734-9600(920) 734-4773 Get Directions Write a Review

NPPES record last updated: April 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Kim A Mittelstadt Apnp NPPES

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

MISS KIM A MITTELSTADT APNP (NPI 1710172614) is an individual nurse practitioner in Appleton, Wisconsin, licensed in Wisconsin (3159-033) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710172614
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISS KIM A MITTELSTADTCredential: APNP
Location Address2500 E CAPITOL DR, SUITE 1700Appleton, WI 54911-8735
Mailing Address2500 E Capitol Dr, Suite 1700Appleton, WI 54911-8735 · (920) 734-9600 · Fax (920) 734-4773
Phone(920) 734-9600
Fax(920) 734-4773
Sole ProprietorNo
Enumeration DateSeptember 13, 2007
Last NPPES UpdateApril 29, 2015
✔ NPI 1710172614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 3159-033
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.
2500 E CAPITOL DR, Appleton, WI 54911
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Other Identifiers 4

Medicare PINW12073005WI
Medicaid1710172614WI
Medicare PINW12072005WI
Medicare PINW12074005WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Kim A Mittelstadt Apnp 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 54911 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.

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers438 claims438 services$36.49 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers254 claims254 services$93.41 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers268 claims566 services$34.96 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers146 claims604 services$19.21 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers83 claims215 services$15.84 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
11 suppliers279 claims279 services$56.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ELIZABETH A BARTHEL
Nurse Practitioner (Family)
2500 E CAPITOL DR
APPLETON, WI 54911
Outagamie County (920) 830-6877
KYLIE MARIE LABOUVE MGC, CGC
Genetic Counselor, MS
2500 E CAPITOL DR
APPLETON, WI 54911
Outagamie County (920) 364-3652
LISA VALIQUETTE NP
Nurse Practitioner (Family)
2500 E CAPITOL DR
APPLETON, WI 54911
Outagamie County (920) 738-4600
MRS. SHANNON LEAH SCHMIDT
Internal Medicine (Hematology & Oncology)
2500 E CAPITOL DR
APPLETON, WI 54911
Outagamie County (920) 364-3600
GABRIELLA VAN THIEL MS, CGC
Genetic Counselor, MS
2500 E CAPITOL DR
APPLETON, WI 54911
Outagamie County (920) 364-3652
DEBORAH A IHDE MD
Internal Medicine
2500 E CAPITOL DR
APPLETON, WI 54911
Outagamie County (920) 731-5811
MRS. NICOLE ANNE VANNOIE APNP
Nurse Practitioner
2500 E CAPITOL DR
APPLETON, WI 54911
Outagamie County (920) 738-4600
RACHEL M NOVOTNY APNP
Nurse Practitioner (Family)
2500 E CAPITOL DR
APPLETON, WI 54911
Outagamie County (920) 738-4600

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 Kim Mittelstadt's NPI number?

The NPI number for Kim Mittelstadt is 1710172614. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Where is Kim Mittelstadt located?

Kim Mittelstadt practices at 2500 E Capitol Dr Suite 1700, Appleton, WI 54911. The listed phone number is (920) 734-9600.

What is Kim Mittelstadt's specialty?

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

Is Kim Mittelstadt enrolled in Medicare?

Yes. Kim Mittelstadt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kim Mittelstadt was last updated on April 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.