Individual provider Active NPI

Kelli Danielle Culver, APRN, NP-C

  • Nurse Practitioner
  • Ashland, WI
National Provider Identifier
1588909402
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
956933 Issued in WI
Practice address
216 3Rd St W Ste 201
Ashland, WI 54806
Phone
(715) 685-0656
NPI assigned
Dec 4, 2012
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 956933 WI
Nurse Practitioner 363L00000X 956933 WI Primary
Family Nurse Practitioner 363LF0000X 486 MN
Registered Nurse 163W00000X 2227496 MN
Registered Nurse 163W00000X 25001130 WI

Addresses

Primary practice location

216 3Rd St W Ste 201
Ashland, WI 54806

Mailing address

216 3Rd St W Ste 201
Ashland, WI 54806-1659
Phone (715) 685-0656

Other practice location 1

1615 Maple Ln
Ashland, WI 54806-3689
Phone (715) 685-5500

Other names 1

  • Kelli Grenz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141029002194 MN Practitioner - Nurse Practitioner 5395981229 Reassigns benefits to 1 organization
I20191025000430 WI Practitioner - Nurse Practitioner 5395981229 Reassigns benefits to 1 organization

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
Fall General Surgery LLCGroup PAC ID 1850371782, 2 clinicians

Practice addresses (Care Compare)

216 3Rd St W
Suite 201
Ashland, WI 54806-1659
Phone (715) 685-0656

4316 Rice Lake Rd
Suite 109
Duluth, MN 55811-2885
Phone (715) 685-0656

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.19 of 100Reported as group
Quality
74.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2227496MNMDRegistered Nurse
25001130WIMDRegistered Nurse
956933WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Lake Health LLC Single Specialty Past Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Single Specialty Past Accepting new patients
Pine Lake Health LLC Nurse Practitioner Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1588909402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 3RD ST W STE 201",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061659",
            "telephone_number": "715-685-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 3RD ST W STE 201",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "54806",
            "telephone_number": "715-685-0656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Maple Ln",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "WI",
            "postal_code": "548063689",
            "country_code": "US",
            "telephone_number": "715-685-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULVER",
        "first_name": "KELLI",
        "middle_name": "DANIELLE",
        "credential": "APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WI",
            "license": "956933",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "956933",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "486",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2227496",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "25001130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "GRENZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, WI

Sources for this page

Verify at the official NPI Registry.