MS. KELLY LAUREN PITZEN NP-C
NPI 1922636877
Nurse Practitioner in Sheboygan, WI

Q: What is Kelly Pitzen's NPI number?

The NPI number for Kelly Pitzen is 1922636877. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Q: What is Kelly Pitzen'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 Kelly Pitzen was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 27, 2020PECOS Enrolled

59.4/100

CMS Quality Rating

1902 MEAD AVE, SHEBOYGAN, WI 53081(414) 329-4979 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 1, 2021, Aug 10, 2021, May 19, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Ms. Kelly Lauren Pitzen Np-c NPPES

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

MS. KELLY LAUREN PITZEN NP-C (NPI 1922636877) is an individual nurse practitioner in Sheboygan, Wisconsin, licensed in Wisconsin (9892) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922636877

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. KELLY LAUREN PITZENCredential: NP-C

Location Address1902 MEAD AVESheboygan, WI 53081-6140

Mailing Address2414 Kohler Memorial DrSheboygan, WI 53081-3129 · (920) 449-7665 · Fax (920) 449-7659

Phone(414) 329-4979

Sole ProprietorNo

Enumeration DateMarch 27, 2020

Last NPPES UpdateDecember 1, 20214 updates tracked since enumeration

NPPES CertifiedDecember 1, 2021

✔ NPI 1922636877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 9892

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 178183 (WI)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F12190231 (WI)

1902 MEAD AVE, Sheboygan, WI 53081

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Other Identifiers 1

Medicaid100099262WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelly Lauren Pitzen Np-c 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 53081 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

59.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

19.61

Promoting Interoperability

100

Improvement Activities

Cost

70.07

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.

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers13 claims13 services$23.40 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 20

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

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