DR. KELLY RAE HIRSCH DNP, RN, FNP-BC
NPI 1760202980
Nurse Practitioner - Family in Wauwatosa, WI

Q: What is Kelly Hirsch's NPI number?

The NPI number for Kelly Hirsch is 1760202980. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Q: What is Kelly Hirsch'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 Hirsch was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since October 14, 2024PECOS Enrolled

1155 N MAYFAIR RD, WAUWATOSA, WI 53226(414) 955-5990(414) 800-6308 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. Kelly Rae Hirsch Dnp, Rn, Fnp-bc NPPES

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

DR. KELLY RAE HIRSCH DNP, RN, FNP-BC (NPI 1760202980) is an individual family provider in Wauwatosa, Wisconsin, licensed in Wisconsin (16045-33) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760202980

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. KELLY RAE HIRSCHCredential: DNP, RN, FNP-BC

Location Address1155 N MAYFAIR RDWauwatosa, WI 53226-3462

Mailing AddressN27w26861 Woodland DrPewaukee, WI 53072-4450 · (920) 323-1989

Phone(414) 955-5990

Fax(414) 800-6308

Sole ProprietorNo

Enumeration DateOctober 14, 2024

Last NPPES UpdateJanuary 12, 2026

NPPES CertifiedJanuary 12, 2026

✔ NPI 1760202980 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 · 16045-33

1155 N MAYFAIR RD, Wauwatosa, WI 53226

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Rae Hirsch Dnp, Rn, Fnp-bc 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 53226 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.

KEVIN BOZYMSKI PHARMD, BCPS

Pharmacist (Psychiatric)

1155 N MAYFAIR RD
MILWAUKEE, WI 53226

Milwaukee County (414) 955-8950

STEVEN BONDOW MD

Family Medicine

1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226

Milwaukee County (414) 955-5990

MR. STEVEN C. MAJSTORAVICH PTA

Physical Therapy Assistant

1155 N MAYFAIR RD
MILWAUKEE, WI 53226

Milwaukee County (414) 805-3666

DR. SABINA DIEHR MD

Family Medicine

1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226

Milwaukee County (414) 955-5990

DR. CHRISTOPHER E WOLFLA MD

Neurological Surgery

1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226

Milwaukee County (414) 805-9255

DR. PHILIP A NELSON MD

Physical Medicine & Rehabilitation

1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226

Milwaukee County (414) 456-7199

DR. MICHAEL DIMARCO JR. PSY.D.

Psychologist (Clinical)

1155 N MAYFAIR RD, THIRD FLOOR
MILWAUKEE, WI 53226

Milwaukee County (414) 955-8900

MR. JOSEPH S. GOVEAS M.D.

Psychiatry & Neurology (Psychiatry)

1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY
MILWAUKEE, WI 53226

Milwaukee County (414) 955-8900

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 Hirsch's NPI number?

The NPI number for Kelly Hirsch is 1760202980. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Where is Kelly Hirsch located?

Kelly Hirsch practices at 1155 N Mayfair Rd, Wauwatosa, WI 53226. The listed phone number is (414) 955-5990.

What is Kelly Hirsch's specialty?

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

Is Kelly Hirsch enrolled in Medicare?

Yes. Kelly Hirsch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Hirsch was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.