Individual provider Active NPI

Kristen Pease, FNP-BC

  • Family Nurse Practitioner
  • Platteville, WI
National Provider Identifier
1356113831
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14643-33 Issued in WI
Practice address
1030 Siemers St
Platteville, WI 53818-1833
Phone
(608) 778-9866
NPI assigned
Oct 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 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 14643-33 WI Primary

Addresses

Primary practice location

1030 Siemers St
Platteville, WI 53818-1833

Mailing address

1030 Siemers St
Platteville, WI 53818-1833
Phone (608) 778-9866

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
I20240123000163 WI Practitioner - Nurse Practitioner 0648622985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Health Center IncGroup PAC ID 3072427772, 110 clinicians

Practice addresses (Care Compare)

1400 Eastside Rd
Platteville, WI 53818-9800
Phone 60834823312263

1450 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-4330

2388 Hwy 80
Cuba City, WI 53807-9308
Phone (608) 744-2767

3695 Prism LN
Kieler, WI 53812-9118
Phone (608) 348-2331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14643-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health Center, Inc. CurrentSince Dec 10, 2023 Accepting new patients
Southwest Health Center, Inc. CurrentSince Dec 10, 2023 Accepting new patients
Southwest Health Center, Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

2388 State Road 80
Cuba City, WI 53807
Phone (608) 744-2767

1450 Eastside Rd
Platteville, WI 53818
Phone (608) 348-2331

1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712

1450 Eastside Rd
#1
Platteville, WI 53818

Interoperability endpoints

  • Direct secure messaging: kpease444398@direct-ehr-ssmhc.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1356113831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SIEMERS ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538181833",
            "telephone_number": "608-778-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SIEMERS ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538181833",
            "telephone_number": "608-778-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASE",
        "first_name": "KRISTEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "14643-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

Verify at the official NPI Registry.