KIMBERLY M DAHLKE NP
NPI 1912420852
Nurse Practitioner in Manitowoc, WI

Q: What is Kimberly Dahlke's NPI number?

The NPI number for Kimberly Dahlke is 1912420852. It was assigned to this individual provider in the NPPES registry on July 24, 2017. The provider is also known as Kimberly M Hennings Np.

Q: What is Kimberly Dahlke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Dahlke was last updated on November 7, 2023. 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.

Active since July 24, 2017PECOS Enrolled

3509 DEWEY ST, MANITOWOC, WI 54220(920) 686-5732(920) 686-5726 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2023, Dec 8, 2022, Dec 2, 2021 and 4 more (7 updates tracked since 2017).

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About Kimberly M Dahlke Np NPPES

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

KIMBERLY M DAHLKE NP (NPI 1912420852) is an individual nurse practitioner in Manitowoc, Wisconsin, licensed in Wisconsin (7834) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912420852

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKIMBERLY M DAHLKECredential: NP

Location Address3509 DEWEY STManitowoc, WI 54220

Mailing Address3509 Dewey StManitowoc, WI 54220 · (920) 686-5732 · Fax (920) 686-5726

Phone(920) 686-5732

Fax(920) 686-5726

Sole ProprietorNo

Enumeration DateJuly 24, 2017

Last NPPES UpdateNovember 7, 20237 updates tracked since enumeration

NPPES CertifiedNovember 7, 2023

✔ NPI 1912420852 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 · 7834

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.

3509 DEWEY ST, Manitowoc, WI 54220

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Other Names 1

Former Name (1)Kimberly M Hennings Np

Other Identifiers 1

Medicaid100069998WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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)

Kimberly M Dahlke Np 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 54220 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 16

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

KAYLEE LYNN HAWKS FNP-C

Nurse Practitioner