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KELLE JOELL TOMATZ FNP-BC
NPI 1972912764
Nurse Practitioner - Family in West Allis, WI

Active since August 06, 2014PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
6609 W GREENFIELD AVE, WEST ALLIS, WI 53214(414) 257-8577 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2024, Aug 13, 2024, Dec 4, 2023 and 2 more (5 updates tracked since 2023).

About Kelle Joell Tomatz Fnp-bc NPPES

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

KELLE JOELL TOMATZ FNP-BC (NPI 1972912764) is an individual family provider in West Allis, Wisconsin, licensed in Wisconsin (5795-33) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Mile Bluff Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1972912764
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLE JOELL TOMATZCredential: FNP-BC
Location Address6609 W GREENFIELD AVEWest Allis, WI 53214-4958
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 257-8577
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 6, 2014
Last NPPES UpdateNovember 19, 20245 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1972912764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 5795-33
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5795 (WI)
6609 W GREENFIELD AVE, West Allis, WI 53214
Open in Google Maps ↗

Other Identifiers 1

Medicaid100040306WI

Accepted Insurance

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

Kelle Joell Tomatz Fnp-bc 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 ID8426270497
PECOS Enrollment IDI20141106000319
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

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 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Mile Bluff Medical Center

Acute Care Hospitals · Mauston, WI
OwnershipProprietary
CMS Certification Number520109
Location1050 Division StMauston, WI 53948 · Juneau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53214 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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

PAUL FACCHIANO NP
Nurse Practitioner
6609 W GREENFIELD AVE
WEST ALLIS, WI 53214
Milwaukee County (414) 257-8500
AMANDA R LUNA PA-C
Physician Assistant
6609 W GREENFIELD AVE
WEST ALLIS, WI 53214
Milwaukee County (414) 257-8500
MICHAEL B WOOD PA-C
Physician Assistant
6609 W GREENFIELD AVE
WEST ALLIS, WI 53214
Milwaukee County (414) 257-8577
DANIELLE L KUCIK APNP
Nurse Practitioner
6609 W GREENFIELD AVE
WEST ALLIS, WI 53214
Milwaukee County (414) 257-8577
ALOHANI L MAYA CURENO
Nurse Practitioner
6609 W GREENFIELD AVE
WEST ALLIS, WI 53214
Milwaukee County (414) 257-8577
MARK R WENDLING M.D.
Surgery
6609 W GREENFIELD AVE
WEST ALLIS, WI 53214
Milwaukee County (414) 257-8500
MAIKENG HER APNP
Nurse Practitioner
6609 W GREENFIELD AVE
WEST ALLIS, WI 53214
Milwaukee County (414) 257-8577
ZHENGQI FAN DNP, APNP, FNP-C
Nurse Practitioner
6609 W GREENFIELD AVE
WEST ALLIS, WI 53214
Milwaukee County (414) 257-8577

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 Kelle Tomatz's NPI number?

The NPI number for Kelle Tomatz is 1972912764. It was assigned to this individual provider in the NPPES registry on August 6, 2014.

Where is Kelle Tomatz located?

Kelle Tomatz practices at 6609 W Greenfield Ave, West Allis, WI 53214. The listed phone number is (414) 257-8577.

What is Kelle Tomatz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelle Tomatz enrolled in Medicare?

Yes. Kelle Tomatz 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 Kelle Tomatz accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Kelle Tomatz 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 Kelle Tomatz affiliated with any hospitals?

According to CMS data, Kelle Tomatz is affiliated with Mile Bluff Medical Center.

When was this NPI record last updated?

The NPPES record for Kelle Tomatz was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.