Active NPI
Karlee Fahey
- Certified Registered Nurse Anesthetist
- Mequon, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6794
- Practice address
- 115 E Trillium CT
Mequon, WI 53092-6100 - Phone
- (262) 358-1024
- NPI assigned
- Nov 30, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 168636 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 6794 | WI | Primary |
Addresses
Primary practice location
115 E Trillium CT
Mequon, WI 53092-6100
Mailing address
115 E Trillium CT
Mequon, WI 53092-6100
Phone (262) 358-1024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100064337 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2124 Kohler Memorial Dr
Suite 110
Sheboygan, WI 53081-3174
Phone (414) 455-1153
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168636 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wisconsin Spine and Pain SC | Current | Accepting new patients | |
| Orthopaedic Hospital of Wisconsin, LLC | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Anesthesia Partners Services, S.C. | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc. | Current | Accepting new patients | |
| CSM Community Physician | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Wisconsin Spine and Pain SC | Current | Accepting new patients |
Locations
7395 Solutions Ctr
Chicago, IL 60677
Dept CH 17057
Palatine, IL 60055
1616 N Casaloma Dr
#100
Appleton, WI 54913
N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800
475 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 961-6700
2595 Development Dr
Ste 150
Green Bay, WI 54311
Phone (888) 901-7246
13133 N Port Washington Rd
Ste 116
Mequon, WI 53097
Phone (262) 243-3700
13133 N Port Washington Rd
Ste 118
Mequon, WI 53097
Phone (262) 243-7470
1249 W Liebau Rd
Ste 200
Mequon, WI 53092
Phone (833) 821-7246
2801 W Kinnickinnic River Pkwy
Ste 1080
Milwaukee, WI 53215
Phone (414) 908-6506
88948 Box
Milwaukee, WI 53288
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
2124 Kohler Memorial Dr
Ste 110
Sheboygan, WI 53081
Phone (833) 821-7246
2124 Kohler Memorial Dr
Ste 100
Sheboygan, WI 53081
Phone (920) 452-7246
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
2607 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 446-9981
N14W23800 Stone Ridge Dr
Ste 120
Waukesha, WI 53188
959 N Mayfair Rd
Ste 100
Wauwatosa, WI 53226
Phone (414) 955-7246
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000
1000 Gateway Ct
Ste 200
West Bend, WI 53095
1000 Gateway Ct
Ste 100
West Bend, WI 53095
Interoperability endpoints
- kfahey239832@direct.myadvocateaurora.org
- https://fhir4.healow.com/fhir/r4/HBICCD/Endpoint/HBICCD
Organizations & group practices 11
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.
-
- Interventional Pain Medicine Physician
- Sheboygan, WI
- NPI 1790309276
-
- Anesthesiology Physician
- Milwaukee, WI
- NPI 1861810947
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Anesthesiology Physician
- Glendale, WI
- NPI 1073832218
-
- General Acute Care Hospital
- Glendale, WI
- NPI 1669584983
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Multi-Specialty Clinic/Center
- Mequon, WI
- NPI 1710928221
-
- Medical Specialty Clinic/Center
- Mequon, WI
- NPI 1518271956
-
- Durable Medical Equipment & Medical Supplies
- Appleton, WI
- NPI 1285452391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1013381185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E TRILLIUM CT",
"city": "MEQUON",
"state": "WI",
"postal_code": "530926100",
"telephone_number": "262-358-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E TRILLIUM CT",
"city": "MEQUON",
"state": "WI",
"postal_code": "530926100",
"telephone_number": "262-358-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHEY",
"first_name": "KARLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-30",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "168636",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "6794",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100064337",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.