NPIMap

Organization Active NPI

Kemell Health LLC

  • Family Medicine Physician
  • New Glarus, WI
National Provider Identifier
1487274247
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KEMELL HEALTH LLC
Practice address
W5491 Windmill Ridge Rd
New Glarus, WI 53574-9489
Phone
(608) 212-2092
Fax
(928) 277-4942
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Olga L Almanza
Title
Coo
Phone
(608) 518-3654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

W5491 Windmill Ridge Rd
New Glarus, WI 53574-9489

Mailing address

W5491 Windmill Ridge Rd
New Glarus, WI 53574-9489
Phone (608) 212-2092

Other identifiers 3

IdentifierTypeStateIssuer
1487274247OtherNPI
K100698488OtherWIPTAN
Z244505OtherAZPTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@kemellhealth.com Direct
Direct Messaging Address ol@kemellhealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WI, IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20200723001226 AZ Part B Supplier - Clinic/Group Practice 5597189571 Receives reassigned benefits from 1 practitioner
Practice locations: Sierra Vista, AZ
O20201112000102 WI Part B Supplier - Clinic/Group Practice 5597189571 Receives reassigned benefits from 4 practitioners
Practice locations: New Glarus, WI
O20220511000883 IL Part B Supplier - Clinic/Group Practice 5597189571 Receives reassigned benefits from 8 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

3970 W 24th St
Ste 210
Yuma, AZ 85364
Phone (928) 277-1009

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1487274247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5491 WINDMILL RIDGE RD",
            "city": "NEW GLARUS",
            "state": "WI",
            "postal_code": "535749489",
            "telephone_number": "608-212-2092",
            "fax_number": "928-277-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W5491 WINDMILL RIDGE RD",
            "city": "NEW GLARUS",
            "state": "WI",
            "postal_code": "535749489",
            "telephone_number": "608-212-2092",
            "fax_number": "928-277-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMELL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "ALMANZA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "608-518-3654"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487274247",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K100698488",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z244505",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@kemellhealth.com",
            "affiliation": "N",
            "endpointDescription": "Office Management mailing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "W5491 Windmill Ridge Rd",
            "city": "New Glarus",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535749489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ol@kemellhealth.com",
            "affiliation": "N",
            "endpointDescription": "COO email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "W5491 Windmill Ridge Rd",
            "city": "New Glarus",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535749489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Glarus, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.