Individual provider Active NPI

Kirsten J Simanonok, MD

  • Anesthesiology Physician
  • West Allis, WI
National Provider Identifier
1225083447
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
44398 Issued in WI
Practice address
8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone
(414) 328-6000
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 44398 WI Primary

Addresses

Primary practice location

8901 W Lincoln Ave
West Allis, WI 53227-2409

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (414) 328-6000

Other practice location 1

575 West River Woods Parkway
Glendale, WI 53212
Phone (414) 961-6700

Other identifiers 1

IdentifierTypeStateIssuer
34337700MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ksimanonok384255@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040813000974 WI Practitioner - Anesthesiology 0547233017 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity-Wisconsin Anesthesia SCGroup PAC ID 2163968819, 144 clinicians

Practice addresses (Care Compare)

375 W River Woods Pkwy
Glendale, WI 53212-1080
Phone (414) 326-1800

Hospital & facility affiliations

  • Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136
  • Ascension St Francis Hospital Hospital, Milwaukee, WI, CCN 520078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44398WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Oct 27, 2024 Accepting new patients
Orthopaedic Hospital of Wisconsin, LLC CurrentSince May 30, 2023 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Oct 27, 2024 Accepting new patients
Orthopaedic Associates of Wisconsin, SC CurrentSince Dec 1, 2025 Accepting new patients
Orthopaedic Associates of Wisconsin SC CurrentSince Dec 1, 2025 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 23, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 23, 2023 Accepting new patients

Locations

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500

575 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 961-6700

475 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 961-6700

2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

N15W28300 Golf Rd
Pewaukee, WI 53072

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

Interoperability endpoints

  • Direct secure messaging: ksimanonok384255@direct.myadvocateaurora.org
  • Direct secure messaging: ksimanonok846878@direct.froedtert.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1225083447",
    "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": "414-328-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272409",
            "telephone_number": "414-328-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 West River Woods Parkway",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "53212",
            "country_code": "US",
            "telephone_number": "414-961-6700",
            "fax_number": "414-961-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMANONOK",
        "first_name": "KIRSTEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "44398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34337700",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksimanonok384255@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8901 W Lincoln Ave",
            "city": "West Allis",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532272409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "8901 W Lincoln Ave",
            "city": "West Allis",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532272409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.