Kirsten Elise Kern, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9025 Issued in WI

Practice address

1490 Rivers Edge TRL
Altoona, WI 54720-2755

Phone

(715) 828-2368

Fax

(715) 839-7796

NPI assigned

Mar 14, 2019

Last updated

Dec 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Defatta ENT and Facial Plastic Surgery SCGroup PAC ID 6103059936, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.88 of 100Reported as group

Quality

85.49

Promoting interoperability

96

Improvement activities

40

Cost

74.1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Defatta ENT & Facial Plastic Surgery SC

  • Specialist
  • Altoona, WI
  • NPI 1346664059
  Medicare reassignment Care Compare group NPD
• Medical X-Ray Consultants, LTD

  • Vascular & Interventional Radiology Physician
  • Alexandria, MN
  • NPI 1386601383
  NPD (past)

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1174082630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 RIVERS EDGE TRL",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202755",
            "telephone_number": "715-828-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 RIVERS EDGE TRL",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202755",
            "telephone_number": "715-828-2368",
            "fax_number": "715-839-7796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3802 Oakwood Mall Dr",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547013016",
            "country_code": "US",
            "telephone_number": "715-839-9280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "KIRSTEN",
        "middle_name": "ELISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "245346",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "9025",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkern@defattaentfacialplastics.careclouddirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1490 Rivers Edge Trl",
            "city": "Altoona",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547202755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkern245967@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3802 Oakwood Mall Dr",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547013016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristi Marie Kastelic, COTA
• Eric Martin Kauffmann, MPT
• David Kelbel
• David John Kenyon, D.D.S.
• Aerin Kerfoot
• Kathleen King
• Kevin P Klatt, PHD
• Kaitlyn E Klomstad, MS,RD, CD
• Katie M Komro, NP-C
• Brittany Konwinski, OD

• Nurse Practitioner in Altoona, WI
• Providers in Altoona, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.

Verify at the official NPI Registry.