Individual provider Active NPI

Kelly N. Planton, APNP

  • Nurse Practitioner
  • Fitchburg, WI
National Provider Identifier
1578848685
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4619-33 Issued in WI
Practice address
5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395
Phone
(608) 276-4660
Fax
(608) 276-4672
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4619-33 WI Primary

Addresses

Primary practice location

5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395

Mailing address

5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395
Phone (608) 276-4660

Other identifiers 1

IdentifierTypeStateIssuer
WI3115OtherWIAGRACE PALLIATIVE CARE, LLC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kplanton30751@direct.uwhealth.org

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agrace Palliative Care LLC CurrentSince Jun 10, 2013 Accepting new patients

Locations

5395 E Cheryl Pkwy
Fitchburg, WI 53711
Phone (608) 276-4660

1200 John Q Hammons Dr
Ste 400
Madison, WI 53717
Phone (608) 410-2700

Interoperability endpoints

  • Direct secure messaging: kplanton30751@direct.uwhealth.org

Organizations & group practices 1

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": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1578848685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 E CHERYL PKWY",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115395",
            "telephone_number": "608-276-4660",
            "fax_number": "608-276-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 E CHERYL PKWY",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115395",
            "telephone_number": "608-276-4660",
            "fax_number": "608-276-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANTON",
        "first_name": "KELLY",
        "middle_name": "N.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4619-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGRACE PALLIATIVE CARE, LLC",
            "identifier": "WI3115",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kplanton30751@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "5395 E Cheryl Pkwy",
            "city": "Fitchburg",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537115395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

Verify at the official NPI Registry.