Individual provider Active NPI

Timothy Patrick Kalmer, FNP

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1316320724
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6396 Issued in WI
Practice address
5300 W Villard Ave
Milwaukee, WI 53218-4345
Phone
(414) 438-6666
Fax
(414) 438-6667
NPI assigned
Jul 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6396 WI Primary

Addresses

Primary practice location

5300 W Villard Ave
Milwaukee, WI 53218-4345

Mailing address

PO Box 639
Thiensville, WI 53092-0639
Phone (414) 438-6666

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
I20150717001296 WI Practitioner - Nurse Practitioner 2961715016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2020 W Wells St
Milwaukee, WI 53233-2720
Phone (414) 476-9675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Milwaukee Center for Independence Inc Current Accepting new patients
Milwaukee Center for Independence Inc Family CurrentSince Jan 30, 2018 Accepting new patients

Locations

2020 W Wells St
Milwaukee, WI 53233
Phone (414) 476-9675

Interoperability endpoints

  • Direct secure messaging: tkalmer@direct.meditouchehr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1316320724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530920639",
            "telephone_number": "414-438-6666",
            "fax_number": "414-438-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W VILLARD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184345",
            "telephone_number": "414-438-6666",
            "fax_number": "414-438-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALMER",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.