Individual provider Active NPI

Kimberly A Perttu, DO

  • Family Medicine Physician
  • Lancaster, WI
National Provider Identifier
1730314253
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
64349-21 Issued in WI
Practice address
507 S Monroe St
Lancaster, WI 53813-2054
Phone
(608) 723-2131
NPI assigned
May 28, 2009
Last updated
May 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X KP018428 MI
Family Medicine Physician 207Q00000X 64349-21 WI Primary

Addresses

Primary practice location

507 S Monroe St
Lancaster, WI 53813-2054

Mailing address

507 S Monroe St
Lancaster, WI 53813-2054
Phone (608) 723-2131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150930001996 WI Practitioner - Family Practice 0244483287 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grant Regional Health Center IncGroup PAC ID 9638079445, 36 clinicians
Vernon Memorial Healthcare IncGroup PAC ID 8325958416, shared by 6 NPIs, 73 clinicians

Practice addresses (Care Compare)

114 US Hwy 61 N
Potosi, WI 53820-9502
Phone (608) 723-2131

407 S Main St
Viroqua, WI 54665-4000
Phone (608) 637-3174

507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-2101

507 S Monroe St
Lancaster, WI 53813-2054
Phone (608) 723-2131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.26 of 100Reported as group
Quality
92.24
Promoting interoperability
100
Improvement activities
40
Cost
41.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
KP018428MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Vernon Memorial Healthcare, Inc CurrentSince Oct 1, 2025 Accepting new patients
Vernon Memorial Healthcare, Inc. Current Accepting new patients
Grant Regional Health Center, Inc. Current Accepting new patients
Vernon Memorial Healthcare, Inc. Current Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Vernon Memorial Healthcare, Inc. Current Accepting new patients
Grant Regional Health Center, Inc Family Medicine Past Accepting new patients

Locations

206 N Mill St
La Farge, WI 54639
Phone (608) 625-2494

507 S Monroe St
Lancaster, WI 53813
Phone (608) 723-2131

114 US Highway 61 N
Potosi, WI 53820
Phone (608) 723-2131

102 Sunset Ave
Soldiers Grove, WI 54655
Phone (608) 624-5203

407 S Main St
Ste 400
Viroqua, WI 54665
Phone (608) 637-3174

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

100 Melby St
Westby, WI 54667
Phone (608) 634-3125

Interoperability endpoints

  • Direct secure messaging: kimberly.perttu.1@9698.direct.athenahealth.com
  • Direct secure messaging: kperttu847532@direct.unitypoint.org

Organizations & group practices 8

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 3

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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1730314253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S MONROE ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132054",
            "telephone_number": "608-723-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S MONROE ST",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132054",
            "telephone_number": "608-723-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERTTU",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "KP018428",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "64349-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, WI

Sources for this page

Verify at the official NPI Registry.