Kirsten Cull, NP
Individual provider Active NPI Family Nurse Practitioner · Pewaukee, WI
NPI 1568020105 · NPPES record last updated Oct 20, 2020
Key facts
- NPI
- 1568020105
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 9346 (WI)
- Practice address
- N21W28337 Beach Rd
Pewaukee, WI 53072-5136 - Phone
- (262) 391-7067
- NPI assigned
- May 29, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prohealth Medical Group Inc
Practice addresses (Care Compare)
195 Discovery Dr
Brookfield, WI 53045-2862
Phone (262) 928-7100
Hospital & facility affiliations
- Waukesha Memorial Hospital
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 |
|---|---|---|---|---|
| I20191212003103 | WI | Practitioner - Nurse Practitioner | 4688007180 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223695 | WI | MD | Family Nurse Practitioner |
| 9346 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc. | Current |
Accepting new patients | |
| Emergency Medical Associates LLP | Current |
Accepting new patients | |
| Prohealth Medical Group Inc | Current |
Accepting new patients | |
| Prohealth Medical Group Inc | Past | Accepting new patients |
Locations
195 Discovery Dr
Brookfield, WI 53045
Phone (262) 513-7100
2750 Golf Rd
Delafield, WI 53018
Phone (262) 928-4900
240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900
240 Maple Ave
Ste 2240
Mukwonago, WI 53149
13900 W National Ave
New Berlin, WI 53151
Phone (262) 928-4500
1185 Corporate Center Dr
Ste 175
Oconomowoc, WI 53066
Phone (262) 928-6236
791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251
109 Air Park Dr
Watertown, WI 53094
Phone (262) 928-5100
N16W24131 Riverwood Dr
Waukesha, WI 53188
Phone (262) 696-0696
2130 Big Bend Rd
Waukesha, WI 53189
Phone (262) 928-7555
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
725 American Ave
Ste 5
Waukesha, WI 53188
Phone (262) 544-2384
1011 Spring City Dr
Waukesha, WI 53186
Phone (262) 925-0370
725 American Ave
#5
Waukesha, WI 53188
Phone (262) 928-2475
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
N16W24131 Riverwood Dr
Ste 2200B
Waukesha, WI 53188
Phone (262) 696-0765
N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9346 | WI | Yes |
| Family Nurse Practitioner | 363LF0000X | 223695 | WI |
Addresses
Primary practice location
N21W28337 Beach Rd
Pewaukee, WI 53072-5136
Mailing address
N21W28337 Beach Rd
Pewaukee, WI 53072-5136
Phone (262) 391-7067
Other providers in Pewaukee, WI
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Judith Marie Crabb
- Cubic Life Integrative Care S.C.
- Frederick Dalangin
- Mary Colleen Daly
- Derek Scott Damrow
- Natalie Daniel
- William Alexander Davies
All providers in Pewaukee, 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 Oct 20, 2020. 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.