Kathryn M Dvorak, GCNS APNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5248-33 Issued in WI

Practice address

2717 N Grandview Blvd
Ste 202
Waukesha, WI 53188-1672

Phone

(262) 513-0700

Fax

(262) 513-0707

NPI assigned

Mar 15, 2013

Last updated

Mar 15, 2013By 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 1

Addresses

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cary J Kohlenberg MD SCGroup PAC ID 9537140611, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

35.83 of 100Reported as group

Quality

9.6

Promoting interoperability

0

Improvement activities

0

Cost

76.51

Medicare enrollment (NPD)

Enrolled

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.

• Cary J Kohlenberg MD SC

  dba Independent Psychiatric Consultants Mental Health Center

  • Psychiatry Physician
  • Waukesha, WI
  • NPI 1952487506
  Medicare reassignment Care Compare group NPD
• BCS of Wisconsin S.C.

  • Psychiatry Physician
  • Waukesha, WI
  • NPI 1629579149
  Medicare reassignment

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1215278221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD",
            "address_2": "STE 202",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881672",
            "telephone_number": "262-513-0700",
            "fax_number": "262-513-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD",
            "address_2": "STE 202",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881672",
            "telephone_number": "262-513-0700",
            "fax_number": "262-513-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "GCNS APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5248-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Rae Dunn, MS, LPC
• Joanne Marie Durham, RN
• James Frederick Dusenberry, O.D.
• Katherine Duvall, RN
• Justin Peterson Dux, MD
• Katie Ann Dvorak, RDH
• Robyn Lynn Dwan, D.O.
• Jamie Lynn Dwyer
• Lorree L Dyoco, MD
• Alexandria Dyszelski, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.