Individual provider Active NPI

Kaitlyn Ruby Plautz-Kolstad

  • Clinical Social Worker
  • Waukesha, WI
National Provider Identifier
1518650456
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12891123 Issued in WI
Practice address
2607 N Grandview Blvd Ste 110
Waukesha, WI 53188-1690
Phone
(262) 313-8339
NPI assigned
May 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12891123 WI Primary

Addresses

Primary practice location

2607 N Grandview Blvd Ste 110
Waukesha, WI 53188-1690

Mailing address

2607 N Grandview Blvd Ste 110
Waukesha, WI 53188-1690
Phone (262) 313-8339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 W Jefferson St
Suite 2310
Louisville, KY 40202-2881

N14W23777 Stone Ridge Dr
Suite 290
Waukesha, WI 53188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12891123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope for a Better Tomorrow CurrentSince Dec 17, 2023 Accepting new patients
Breathe Wellness & Prenatal Care LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

2607 N Grandview Blvd
Ste 110
Waukesha, WI 53188
Phone (262) 313-8339

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.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1518650456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 N GRANDVIEW BLVD STE 110",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881690",
            "telephone_number": "262-313-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 N GRANDVIEW BLVD STE 110",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881690",
            "telephone_number": "262-313-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAUTZ-KOLSTAD",
        "first_name": "KAITLYN",
        "middle_name": "RUBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12891123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.