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KATHLEEN M PHELAN M.D.
NPI 1871566182
Family Medicine in Hartland, WI

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC., HARTLAND, WI 53029(262) 928-7500(262) 367-8744 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen M Phelan M.d. NPPES

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

KATHLEEN M PHELAN M.D. (NPI 1871566182) is an individual family medicine provider in Hartland, Wisconsin, licensed in Wisconsin (37057) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1994).

NPPES Registry Identity

NPI1871566182
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHLEEN M PHELANCredential: M.D.
Location Address1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC.Hartland, WI 53029-9317
Mailing Address1500 Walnut Ridge Dr, Prohealth Care Medical Associates Inc.Hartland, WI 53029-9317 · (262) 928-7500 · Fax (262) 367-8744
Phone(262) 928-7500
Fax(262) 367-8744
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1994
Enumeration DateFebruary 8, 2006
Last NPPES UpdateApril 20, 2012
✔ NPI 1871566182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 37057
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1500 WALNUT RIDGE DR, Hartland, WI 53029
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Other Identifiers 4

Medicare ID-Type Unspecified32382200WI
Medicare UPING58676WI
Medicare PIN683750625
Medicare ID-Type Unspecified68295WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.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

Kathleen M Phelan M.d. 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 ID4587765466
PECOS Enrollment IDI20070723000111
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
289 services154 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
116 services116 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services48 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services30 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
28 services28 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53029 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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers19 claims51 services$4.80 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 8

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

CATHERINE E. WAY M.D.
Family Medicine
1500 WALNUT RIDGE DR
HARTLAND, WI 53029
Waukesha County (262) 928-7500
KEVIN J. ARNOLD D.O.
Family Medicine
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES, INC
HARTLAND, WI 53029
Waukesha County (262) 928-7500
KARIN I KULTGEN M.D.
Family Medicine
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES INC.
HARTLAND, WI 53029
Waukesha County (262) 928-7500
MS. LAUREN K BREMBERGER M.D.
Family Medicine
1500 WALNUT RIDGE DR
HARTLAND, WI 53029
Waukesha County (262) 928-7500
PROHEALTH MEDICAL GROUP INC
Family Medicine
1500 WALNUT RIDGE DR
HARTLAND, WI 53029
Waukesha County (262) 928-7500
CHERYL C. SERB M.D.
Family Medicine
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES
HARTLAND, WI 53029
Waukesha County (262) 928-7500
MICHELLE JANSEN DNP
Nurse Practitioner (Family)
1500 WALNUT RIDGE DR
HARTLAND, WI 53029
Waukesha County (262) 513-7500
JOHN C LESNIAK M.D.
Family Medicine
1500 WALNUT RIDGE DR, PROHEALTH CARE MEDICAL ASSOCIATES, INC.
HARTLAND, WI 53029
Waukesha County (262) 928-7500

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 Kathleen Phelan's NPI number?

The NPI number for Kathleen Phelan is 1871566182. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Kathleen Phelan located?

Kathleen Phelan practices at 1500 Walnut Ridge Dr Prohealth Care Medical Associates Inc., Hartland, WI 53029. The listed phone number is (262) 928-7500.

What is Kathleen Phelan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kathleen Phelan enrolled in Medicare?

Yes. Kathleen Phelan 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 Kathleen Phelan accept?

Health plans from Network Health list Kathleen Phelan 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 Kathleen Phelan affiliated with any hospitals?

According to CMS data, Kathleen Phelan is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Phelan was last updated on April 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.