Katelyn Alissa Cropp – Family Nurse Practitioner

Key facts

NPI: 1497434872
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 14207-33 (WI)
Practice address: 1506 S Oneida St
Appleton, WI 54915-1305
Phone: (920) 738-2000
NPI assigned: Jul 13, 2023
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Emergency Medicine Specialists, S.C. Emergency Medicine Physician · Milwaukee, WI · NPI 1568413524

Medicare reassignment Care Compare group WI
MCMC Urgicare LLC Internal Medicine Physician · Milwaukee, WI · NPI 1134238017

NPD (past)

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Ascension NE Wisconsin, Inc Ambulatory Surgical Clinic/Center · Menasha, WI · NPI 1124075536

Care Compare affiliation Hospital
Ascension NE Wisconsin, Inc General Acute Care Hospital · Appleton, WI · NPI 1407803638

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2023
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Emergency Medicine Specialists SC (220 clinicians)

Practice addresses (Care Compare)

101 Main St
Neenah, WI 54956-2570
Phone (920) 727-4200

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000

3329 N Richard St
Appleton, WI 54911-1063
Phone (920) 380-2715

5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000

Hospital & facility affiliations

Ascension NE Wisconsin - St Elizabeth Campus Hospital · Appleton, WI · CCN 520009

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
I20231012001163	WI	Practitioner - Nurse Practitioner	4486009347	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
242068-30	WI	MD	Emergency Registered Nurse
14207-33	WI	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
MCMC Urgicare LLC		Past since Jul 16, 2023	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Emergency Registered Nurse	163WE0003X	242068-30	WI
Family Nurse Practitioner	363LF0000X	14207-33	WI	Yes

Addresses

Primary practice location

1506 S Oneida St
Appleton, WI 54915-1305

Mailing address

10625 W North Ave
Wauwatosa, WI 53226-2315
Phone (414) 877-5350

Other practice location 1

500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 223-2000

Other names

Katelyn Alissa Ammon Former name

Other providers in Appleton, WI

All providers in Appleton, WI · Family 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 Jul 13, 2023. 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).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.