Kylee Anglemyer
Individual provider Active NPI Nurse Practitioner · Chippewa Falls, WI
NPI 1497166995 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1497166995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5384-33 (WI)
- Practice address
- 2829 County Highway I Ste 2C
Chippewa Falls, WI 54729-2678 - Phone
- (715) 861-2300
- NPI assigned
- May 19, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140605002038 | WI | Practitioner - Nurse Practitioner | 9537383823 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Past | Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5384-33 | WI | Yes |
Addresses
Primary practice location
2829 County Highway I Ste 2C
Chippewa Falls, WI 54729-2678
Mailing address
2829 County Highway I Ste 2C
Chippewa Falls, WI 54729-2678
Phone (715) 861-2300
Other providers in Chippewa Falls, WI
- Tonia L Anderson Ruskin
- Ashley A Anderson
- Brandie J Anderson
- Greta Lynn Anderson
- Anesthesia Management Solutions of Wisconsin LLC
- Kaitlyn Elizabeth Anibas
- James William Appel
- Denise Glantz Arneson
- Lon C Arneson
- Larissa Mae Ashwell
All providers in Chippewa Falls, WI · Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.