KRISTYN E RADOVANOVIC NP
NPI 1750954616
Nurse Practitioner in Kenosha, WI

Q: What is Kristyn Radovanovic's NPI number?

The NPI number for Kristyn Radovanovic is 1750954616. It was assigned to this individual provider in the NPPES registry on July 20, 2021. The provider is also known as Kristyn L St. Clair.

Q: What is Kristyn Radovanovic's specialty?

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

Active since July 20, 2021PECOS EnrolledAccepts Medicare Assignment

10400 75TH ST, KENOSHA, WI 53142(262) 948-5600 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2024, Nov 24, 2021, Jul 28, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Kristyn E Radovanovic Np NPPES

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

KRISTYN E RADOVANOVIC NP (NPI 1750954616) is an individual nurse practitioner in Kenosha, Wisconsin, licensed in Wisconsin (11111) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1750954616

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKRISTYN E RADOVANOVICCredential: NP

Location Address10400 75TH STKenosha, WI 53142-7884

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(262) 948-5600

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 20, 2021

Last NPPES UpdateMay 2, 20244 updates tracked since enumeration

NPPES CertifiedMay 2, 2024

✔ NPI 1750954616 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 · 11111

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.

10400 75TH ST, Kenosha, WI 53142

Open in Google Maps ↗

Other Names 1

Former Name (1)Kristyn L St. Clair

Secondary Practice Location 1

Location 12900 W Oklahoma AveMilwaukee, WI 53215-4330 · Phone (414) 649-6000

Other Identifiers 1

Medicaid100179377WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Kristyn E Radovanovic Np 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 ID9830594688

PECOS Enrollment IDI20210817004154

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.

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 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.

Leave this field empty

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.

DR. UZMA REZVI M. D.

Anesthesiology

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5600

DAVID B KITE PA

Physician Assistant

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-7000

MRS. SUSAN H. PERGANDE WHNP

Nurse Practitioner (Women's Health)

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-6714

DAVID ERIC FARKAS MD

Emergency Medicine

10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142

Kenosha County (262) 697-7000

PAULA MICHELLE OSGOOD CRNA

Nurse Anesthetist, Certified Registered

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5600

DOROTHY KATHERINE FREE

Nurse Anesthetist, Certified Registered

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5600

ZEBI FATIMA MD

Internal Medicine

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 942-5600

JENNIFER J JOHNSON RN

Registered Nurse (Critical Care Medicine)

10400 75TH ST
KENOSHA, WI 53142

Kenosha County (262) 948-5730

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 Kristyn Radovanovic's NPI number?

The NPI number for Kristyn Radovanovic is 1750954616. It was assigned to this individual provider in the NPPES registry on July 20, 2021. The provider is also known as Kristyn L St. Clair.

Where is Kristyn Radovanovic located?

Kristyn Radovanovic practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-5600.

What is Kristyn Radovanovic's specialty?

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

Is Kristyn Radovanovic enrolled in Medicare?

Yes. Kristyn Radovanovic 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 Kristyn Radovanovic accept?

Health plans from CareSource (Common Ground Healthcare) list Kristyn Radovanovic 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 Kristyn Radovanovic affiliated with any hospitals?

According to CMS data, Kristyn Radovanovic is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Kristyn Radovanovic was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.