NPIMap

Individual provider Active NPI

Kathleen Clerkin, APNP

  • Family Nurse Practitioner
  • Middleton, WI
National Provider Identifier
1356057756
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13544 Issued in WI
Practice address
1032 N Pleasant View Rd
Middleton, WI 53562-3577
Phone
(630) 234-9518
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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 13544 WI Primary

Addresses

Primary practice location

1032 N Pleasant View Rd
Middleton, WI 53562-3577

Mailing address

1032 N Pleasant View Rd
Middleton, WI 53562-3577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230502003156 WI Practitioner - Nurse Practitioner 1254796949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upland Hills Health IncGroup PAC ID 3072415553, 97 clinicians

Practice addresses (Care Compare)

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (608) 930-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
97.3
Promoting interoperability
100
Improvement activities
40
Cost
74.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13544WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upland Hills Health, Inc CurrentSince May 1, 2023 Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Upland Hills Health, Inc. CurrentSince May 1, 2023 Accepting new patients
Upland Hills Health, Inc. Past Accepting new patients
Upland Hills Health, Inc. Past Accepting new patients
Upland Hills Health, Inc. Past Accepting new patients
Upland Hills Health, Inc, Past Accepting new patients
Upland Hills Health, Inc Past Accepting new patients
Upland Hills Health, Inc. Family Past Accepting new patients

Locations

103 Quail Ridge Dr
Barneveld, WI 53507
Phone (608) 924-1088

1204 Joseph St
Dodgeville, WI 53533
Phone (608) 574-5044

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

1883 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-8040

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1356057756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 N PLEASANT VIEW RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 N PLEASANT VIEW RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623577",
            "telephone_number": "630-234-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLERKIN",
        "first_name": "KATHLEEN",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "13544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.