Active NPI
Kim C. Wesling, NP
- Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1508973132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 500-033,99889-030
- Practice address
- 633 E Mason St
Milwaukee, WI 53202-3813 - Phone
- (414) 665-8400
- Fax
- (414) 665-5730
- NPI assigned
- Aug 23, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 500-033,99889-030 | WI | Primary |
Addresses
Primary practice location
633 E Mason St
Milwaukee, WI 53202-3813
Mailing address
633 E Mason St
Milwaukee, WI 53202-3813
Phone (414) 665-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43943500 | Medicaid | WI |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150716001495 | WI | Order and Referring Only - Nurse Practitioner | 8729079793 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 500 | WI | MD | Physical Therapy Assistant |
| 500-033,99889-030 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1508973132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 E MASON ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532023813",
"telephone_number": "414-665-8400",
"fax_number": "414-665-5730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 E MASON ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532023813",
"telephone_number": "414-665-8400",
"fax_number": "414-665-5730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESLING",
"first_name": "KIM",
"middle_name": "C.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "500-033,99889-030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43943500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.