Kelly Ann Felmer, GNP, APNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1495-033 Issued in WI

Practice address

1601 S. Webster Avenue
Green Bay, WI 54301

Phone

(920) 343-6443

Fax

(920) 542-6223

NPI assigned

Oct 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Ann Galler Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1457540171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S. WEBSTER AVENUE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54301",
            "telephone_number": "920-343-6443",
            "fax_number": "920-542-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S. WEBSTER AVENUE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54301",
            "telephone_number": "920-343-6443",
            "fax_number": "920-542-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELMER",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "GNP, APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "1495-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "GALLER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Mae Feldhausen, LPC
• Logan Marshall Feldt, DC
• Elizabeth Felion, M.S. CCC-SLP
• Mary Jo Feller, CRNA APNP
• Shawn M Feller, R.N.
• Ardy Fenando, MD
• Rebecca Eleanor Fenelon, MD
• Shara Feng
• Nancy Ann Fennema, MSSW
• Nana Sarkoah Ivy Fenny, M.D.

• All providers in Green Bay, WI
• Gerontology Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.