Individual provider Active NPI

Kim Ann Heim, APNP

  • Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1295967511
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
84192030 Issued in WI
Practice address
2015 E Newport Ave
Suite 409
Milwaukee, WI 53211-2984
Phone
(414) 259-3900
NPI assigned
Aug 20, 2009
Last updated
Aug 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 84192030 WI Primary

Addresses

Primary practice location

2015 E Newport Ave
Suite 409
Milwaukee, WI 53211-2984

Mailing address

6660 N Elm Tree Rd
Glendale, WI 53217-4045
Phone (414) 259-3900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000618 WI Practitioner - Nurse Practitioner 5092842690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Solutions IncGroup PAC ID 8820983760, 8 clinicians
BCS of Wisconsin SCGroup PAC ID 7618232760, 18 clinicians

Practice addresses (Care Compare)

101 1St St
Oconto, WI 54153-1117
Phone (920) 834-4575

12600 N Port Washington Rd
Mequon, WI 53092-3469
Phone (262) 387-8800

1351 Wisconsin River Dr
Port Edwards, WI 54469-1041
Phone (715) 885-8300

1625 E Main St
Clintonville, WI 54929-8407
Phone (715) 823-3135

2115 E Woodstock PL
Milwaukee, WI 53202-1342
Phone (414) 271-1020

225 E Brown Rd
Milwaukee, WI 53217-2314
Phone (414) 258-9955

2717 N Grandview Blvd
Suite 102
Waukesha, WI 53188-1672
Phone (877) 906-9699

3576 Nu Roc LN
Laona, WI 54541-9291
Phone (715) 674-4477

700 S Fremont St
Prairie Du Chien, WI 53821-2331
Phone (608) 326-8471

W76N677 Wauwatosa Rd
Cedarburg, WI 53012-1767
Phone (262) 377-5060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84192030WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Solutions, Inc. Nurse Practitioner CurrentSince Dec 13, 2009 Accepting new patients
BCS of Wisconsin S.C. CurrentSince Nov 7, 2025 Accepting new patients
Mark Eberhage, PHD LLC PastSince Jun 23, 2026 Accepting new patients

Locations

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

115 E Arndt St
Fond du Lac, WI 54935
Phone (920) 923-7040

305 S Clark St
Mayville, WI 53050
Phone (920) 387-0354

2015 E Newport Ave
Ste 409
Milwaukee, WI 53211
Phone (414) 259-3900

2115 E Woodstock Pl
Milwaukee, WI 53202
Phone (414) 271-1020

321 Riverside Dr
Pewaukee, WI 53072
Phone (262) 291-2300

2717 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 513-0700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1295967511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 N ELM TREE RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174045",
            "telephone_number": "414-259-3900",
            "fax_number": "414-963-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "address_2": "SUITE 409",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112984",
            "telephone_number": "414-259-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIM",
        "first_name": "KIM",
        "middle_name": "ANN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "84192030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.