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DR. KELLY NICOLE WEST DDS
NPI 1760582480
Dentist - Endodontics in Grafton, WI

Active since September 23, 2006PECOS Enrolled
1245 CHEYENNE AVE, SUITE 104, GRAFTON, WI 53024(262) 377-2668(262) 377-2680 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly Nicole West Dds NPPES

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

DR. KELLY NICOLE WEST DDS (NPI 1760582480) is an individual endodontics provider in Grafton, Wisconsin, licensed in Wisconsin (612915) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760582480
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameDR. KELLY NICOLE WESTCredential: DDS
Location Address1245 CHEYENNE AVE, SUITE 104Grafton, WI 53024
Mailing Address1245 Cheyenne Ave, Suite 104Grafton, WI 53024 · (262) 377-2668 · Fax (262) 377-2680
Phone(262) 377-2668
Fax(262) 377-2680
Sole ProprietorNo
Enumeration DateSeptember 23, 2006
Last NPPES UpdateSeptember 23, 2015
✔ NPI 1760582480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in WI · 612915
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License 2901018424 (MI)
1245 CHEYENNE AVE, Grafton, WI 53024
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc., Humana.Insurance ›

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 Nicole West Dds 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 53024 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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 5

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

ACCESS COMMUNITY THERAPIES LLC
Counselor (Professional)
1245 CHEYENNE AVE, SUITE 200
GRAFTON, WI 53024
Ozaukee County (262) 233-1818
WEST ENDODONTIC GROUP
Dentist (Endodontics)
1245 CHEYENNE AVE, SUITE 104
GRAFTON, WI 53024
Ozaukee County (262) 377-2889
MARIA J. HILLMER APNP
Nurse Practitioner
1245 CHEYENNE AVE, SUITE 301
GRAFTON, WI 53024
Ozaukee County (262) 377-2222
MEGAN E DITTRICH LCSW
Social Worker (Clinical)
1245 CHEYENNE AVE
GRAFTON, WI 53024
Ozaukee County (203) 331-2297
FOREFRONT DERMATOLOGY, S.C.
Dermatology
1245 CHEYENNE AVE, SUITE 301
GRAFTON, WI 53024
Ozaukee County (262) 377-2222

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 West's NPI number?

The NPI number for Kelly West is 1760582480. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is Kelly West located?

Kelly West practices at 1245 Cheyenne Ave Suite 104, Grafton, WI 53024. The listed phone number is (262) 377-2668.

What is Kelly West's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Kelly West enrolled in Medicare?

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

What insurance does Kelly West accept?

Health plans from Delta Dental of Wisconsin, Inc. and Humana list Kelly West 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.

When was this NPI record last updated?

The NPPES record for Kelly West was last updated on September 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.