Individual provider Active NPI

Karlee Fahey

  • Certified Registered Nurse Anesthetist
  • Mequon, WI
National Provider Identifier
1013381185
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6794 Issued in WI
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

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100064337MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151229000346 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678874104 Reassigns benefits to 6 organizations

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
Wisconsin Spine and Pain SCGroup PAC ID 0345665469, 19 clinicians

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

LicenseStateTypeSpecialty
168636WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current Accepting new patients
Aurora Medical Group, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Aug 1, 2023 Accepting new patients
Orthopaedic Hospital of Wisconsin, LLC CurrentSince Oct 4, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Sep 5, 2019 Accepting new patients
Anesthesia Partners Services, S.C. CurrentSince Jul 1, 2019 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc. Current Accepting new patients
CSM Community Physician CurrentSince Sep 5, 2019 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Sep 5, 2019 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Aug 1, 2023 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

  • Direct secure messaging: kfahey239832@direct.myadvocateaurora.org
  • FHIR API: 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.

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.

Verify at the official NPI Registry.