Kelly Sarosiek, DNP, APNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11102-33 Issued in WI

Practice address

1920 Libal St
Green Bay, WI 54301-2471

Phone

(800) 528-7883

NPI assigned

Jul 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Szczepanski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: ksarosiek975701@direct.emplifyhealth.org

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1659944940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2794 SUMMERSET CIR",
            "city": "SUAMICO",
            "state": "WI",
            "postal_code": "541738013",
            "telephone_number": "920-461-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 LIBAL ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012471",
            "telephone_number": "800-528-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAROSIEK",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "DNP, APNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "11102-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SZCZEPANSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Kaye O'Brion Sarder, FNP-C
• Philip Sarge, CRNA APNP
• Tami Jay Sargent, RDH
• Anas Mahmoud Sarhan
• Peter G Saros, M.D.
• Kristi R Sarosiek, CRNA
• Brandon Michael Sauer, MD
• Corrine C Sauter, RN
• Colleen Rita Sauvey, PA-C
• Adam Fredrick Sawyer, M.D.

• Family Nurse Practitioner in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.