Active NPI
Joann Kiemen, NP
- Nurse Practitioner
- Lake Geneva, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- PENDING
- Practice address
- 146 E Geneva SQ
Lake Geneva, WI 53147-9695 - Phone
- (262) 249-5030
- NPI assigned
- Aug 20, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | PENDING | WI | Primary |
Addresses
Primary practice location
146 E Geneva SQ
Lake Geneva, WI 53147-9695
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36055500 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | jkiemen20767@direct.myadvocateaurora.org | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
146 E Geneva SQ
Lake Geneva, WI 53147-9694
Phone (262) 249-5000
Hospital & facility affiliations
- Aurora Lakeland Medical Center
- Aurora Memorial Hospital Burlington
- Aurora St Lukes Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | WI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| Arrhythmia Center for Southern Wi, LTD | Past | Accepting new patients | |
| Midwest Area Physicians, LLC | Past | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
252 McHenry St
Burlington, WI 53105
Phone (262) 763-2411
1550 Hobbs Dr
Delavan, WI 53115
Phone (262) 740-4200
100 S Washington St
Elkhorn, WI 53121
Phone (262) 374-0068
W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000
146 E Geneva Sq
Lake Geneva, WI 53147
Phone (262) 249-4678
146 E Geneva Sq
Ste G
Lake Geneva, WI 53147
2901 W Kinnickinnic River Pkwy
Ste 305
Milwaukee, WI 53215
Phone (414) 645-6070
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590
620 15th Ave
Union Grove, WI 53182
Phone (262) 878-1211
8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000
Organizations & group practices 7
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
- Clinical Cardiac Electrophysiology Physician
- Milwaukee, WI
- NPI 1417049545
-
- Durable Medical Equipment & Medical Supplies
- Union Grove, WI
- NPI 1245440601
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
-
- Anesthesiology Physician
- Milwaukee, WI
- NPI 1245470699
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
- General Acute Care Hospital
- Burlington, WI
- NPI 1861557753
-
- General Acute Care Hospital
- Elkhorn, WI
- NPI 1972628006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1194918698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 E GENEVA SQ",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531479695",
"telephone_number": "262-249-5030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEMEN",
"first_name": "JOANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "PENDING",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36055500",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "100 S. WASHINGTON STREET",
"city": "ELKHORN",
"state": "WI",
"country_code": "US",
"postal_code": "531212110",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkiemen20767@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 S. WASHINGTON STREET",
"city": "ELKHORN",
"state": "WI",
"country_code": "US",
"postal_code": "531212110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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; 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.