Active NPI
Kailie Beck, ANPN, FNP-C
- Family Nurse Practitioner
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 16455-33
- Practice address
- 1531 S Madison St
Appleton, WI 54915-1800 - Phone
- (920) 738-2000
- NPI assigned
- Apr 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 16455-33 | WI | Primary |
Addresses
Primary practice location
1531 S Madison St
Appleton, WI 54915-1800
Mailing address
1740 13TH Ave
Green Bay, WI 54304-3717
Phone (920) 321-6159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100372348 | Medicaid | WI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250915000295 | WI | Practitioner - Nurse Practitioner | 0547763575 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16455-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients |
Locations
1531 S Madison St
Appleton, WI 54915
Phone (920) 730-4411
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
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.
-
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
WI
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Medical Group-Fox Valley Wisconsin, Inc
Practice addresses (Care Compare)
1531 S Madison St
Appleton, WI 54915-1800
Phone (920) 730-4436
Hospital & facility affiliations
- Ascension NE Wisconsin - St Elizabeth Campus
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1003600149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 13TH AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543043717",
"telephone_number": "920-321-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 S MADISON ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549151800",
"telephone_number": "920-738-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "KAILIE",
"credential": "ANPN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-05",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "16455-33",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100372348",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.