KETAMINE MILWAUKEE, SC
NPI 1871318584
Clinic/Center - Multi-Specialty in Milwaukee, WI
About Ketamine Milwaukee, Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KETAMINE MILWAUKEE, SC (NPI 1871318584), doing business as Edelica, is a healthcare organization registered as a multi-specialty in Milwaukee, Wisconsin and active in the NPI registry since November 2024. The organization lists Kevin Kane, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ketamine Milwaukee, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Ketamine Milwaukee, Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ketamine Milwaukee, Sc's NPI number?
The NPI number for Ketamine Milwaukee, Sc is 1871318584. It was assigned to this organization in the NPPES registry on November 18, 2024. The provider is doing business as Edelica.
Where is Ketamine Milwaukee, Sc located?
Ketamine Milwaukee, Sc is located at 10424 W Bluemound Rd, Milwaukee, WI 53226. The listed phone number is (414) 206-1606.
What is Ketamine Milwaukee, Sc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Ketamine Milwaukee, Sc enrolled in Medicare?
Yes. Ketamine Milwaukee, Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ketamine Milwaukee, Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Ketamine Milwaukee, Sc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Anesthesiology (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ketamine Milwaukee, Sc accept?
Health plans from Anthem Blue Cross and Blue Shield list Ketamine Milwaukee, Sc 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 Ketamine Milwaukee, Sc was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Ketamine Milwaukee, Sc · NPI 1871318584
Multi-Specialty organization in Milwaukee, Wisconsin. Organization record, active in the CMS NPPES registry since November 18, 2024.
## Identity
- **NPI:** 1871318584 (Entity type: Organization)
- **Enumerated:** November 18, 2024
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Edelica (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kevin Kane, PRESIDENT
## Practice location
- **Address:** 10424 W BLUEMOUND RD, Milwaukee, WI 53226-4331
- **Phone:** (414) 206-1606
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Anesthesiology (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1871318584) · Data from the CMS NPPES public registry.