Active NPI
Katie M Komro, NP-C
- Family Nurse Practitioner
- Altoona, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5017-33
- Practice address
- 1200 Oakleaf Way Ste a
Altoona, WI 54720-2217 - Phone
- (715) 832-1400
- Fax
- (715) 832-4187
- NPI assigned
- Aug 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5017-33 | WI | Primary |
Addresses
Primary practice location
1200 Oakleaf Way Ste a
Altoona, WI 54720-2217
Mailing address
1200 Oakleaf Way Ste a
Altoona, WI 54720-2217
Phone (715) 832-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508113457 | Medicaid | WI |
Other names 1
- Katie M Holden
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ajcrow@cvosm.gwaydirect.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Oakleaf Way
A
Altoona, WI 54720-2245
Phone (715) 832-1400
Hospital & facility affiliations
- Oakleaf Surgical Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chippewa Valley Orthopedics and Sports Medicine Clinic SC | Current | Accepting new patients | |
| Chippewa Valley Orthopedics and Sports Medicine Clinic, SC | Current | Accepting new patients | |
| Medical X-Ray Consultants, LTD | Past | Accepting new patients |
Locations
1200 Oakleaf Way
Ste A
Altoona, WI 54720
Phone (800) 322-1747
1200 Oakleaf Way
Altoona, WI 54720
Phone (715) 839-1778
757 Lakeland Dr
Ste B
Chippewa Falls, WI 54729
Phone (715) 723-5989
2200 Cedar Crest Dr
Ste A
Rice Lake, WI 54868
Phone (715) 455-0408
113 4th Ave
Shell Lake, WI 54871
Phone (715) 468-7833
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.
-
- Orthopaedic Surgery Physician
- Altoona, WI
- NPI 1699778829
-
- Physical Therapy Clinic/Center
- Rice Lake, WI
- NPI 1023884376
-
- Vascular & Interventional Radiology Physician
- Alexandria, MN
- NPI 1386601383
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Altoona, WI
- NPI 1669463832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1508113457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 OAKLEAF WAY STE A",
"city": "ALTOONA",
"state": "WI",
"postal_code": "547202217",
"telephone_number": "715-832-1400",
"fax_number": "715-832-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OAKLEAF WAY STE A",
"city": "ALTOONA",
"state": "WI",
"postal_code": "547202217",
"telephone_number": "715-832-1400",
"fax_number": "715-832-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMRO",
"first_name": "KATIE",
"middle_name": "M",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "5017-33",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508113457",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ajcrow@cvosm.gwaydirect.com",
"affiliation": "N",
"address_1": "1200 Oakleaf Way",
"address_2": "Suite A",
"city": "Altoona",
"state": "WI",
"country_code": "US",
"postal_code": "547202245",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATIE",
"last_name": "HOLDEN",
"middle_name": "M",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Altoona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.