Individual provider Active NPI

Katelyn Ryman, NP

  • Nurse Practitioner
  • Waukesha, WI
National Provider Identifier
1003598814
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
14336-33 Issued in WI
Practice address
N20W22961 Watertown Rd
Waukesha, WI 53186-1306
Phone
(262) 875-5070
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 14336-33 WI Primary

Addresses

Primary practice location

N20W22961 Watertown Rd
Waukesha, WI 53186-1306

Mailing address

3606 Pine Grove Way
Madison, WI 53719-4059
Phone (563) 513-8723

Other practice location 1

3606 Pine Grove Way
Madison, WI 53719-4059
Phone (563) 513-8723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014001409 WI Practitioner - Nurse Practitioner 6002348232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oak Medical SCGroup PAC ID 0042595175, 118 clinicians

Practice addresses (Care Compare)

110 Belmont Rd
Madison, WI 53714-3129
Phone (608) 249-7391

Hospital & facility affiliations

  • PRN Home Health and Therapy, LLC Home health agency, Appleton, WI, CCN 527328
  • Commonheart Home Health Home health agency, Waukesha, WI, CCN 527151
  • Agrace Hospicecare Hospice, Madison, WI, CCN 521505
  • Brighton Hospice Madison Hospice, Middleton, WI, CCN 521612
  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • Aspirus Stevens Point Hospital & Clinics, Inc. Hospital, Stevens Point, WI, CCN 520002
  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030
  • Stoughton Hospital Hospital, Stoughton, WI, CCN 521343
  • Aspirus Divine Savior Hospital Hospital, Portage, WI, CCN 520041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Medical SC CurrentSince Sep 1, 2024 Accepting new patients
Oak Medical SC CurrentSince Sep 1, 2024 Accepting new patients

Locations

110 Belmont Rd
Madison, WI 53714
Phone (308) 249-7391

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1003598814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 PINE GROVE WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194059",
            "telephone_number": "563-513-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N20W22961 WATERTOWN RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861306",
            "telephone_number": "262-875-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3606 Pine Grove Way",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537194059",
            "country_code": "US",
            "telephone_number": "563-513-8723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYMAN",
        "first_name": "KATELYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "14336-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.