Individual provider Active NPI

Kari Ann Pecho, APNP

  • Nurse Practitioner
  • Oneida, WI
National Provider Identifier
1780229989
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9543-33 Issued in WI
Practice address
525 Airport Dr
Oneida, WI 54155-9035
Phone
(920) 869-2711
Fax
(920) 869-1782
NPI assigned
Nov 12, 2019
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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 9543-33 WI Primary

Addresses

Primary practice location

525 Airport Dr
Oneida, WI 54155-9035

Mailing address

PO Box 365
Oneida, WI 54155-0365
Phone (920) 869-2711

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200108001085 WI Practitioner - Nurse Practitioner 2466886254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oneida NationGroup PAC ID 6800794074, 36 clinicians

Practice addresses (Care Compare)

525 Airport Dr
Oneida, WI 54155-9035
Phone (920) 869-2711

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Green Bay, S.C. CurrentSince Nov 19, 2019 Accepting new patients
Oneida Nation CurrentSince Nov 6, 2022 Accepting new patients
Oneida Nation Past Accepting new patients
Urology Associates of Green Bay Surgery Center, LLC PastSince Sep 4, 2022 Accepting new patients

Locations

1385 W Main Ave
De Pere, WI 54115

720 S Van Buren St
Green Bay, WI 54301
Phone (920) 430-7100

720 S Van Buren St
Ste 301
Green Bay, WI 54301
Phone (920) 433-9000

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

525 Airport Dr
Oneida, WI 54155
Phone (920) 869-2711

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.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1780229989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "ONEIDA",
            "state": "WI",
            "postal_code": "541550365",
            "telephone_number": "920-869-2711",
            "fax_number": "920-869-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 AIRPORT DR",
            "city": "ONEIDA",
            "state": "WI",
            "postal_code": "541559035",
            "telephone_number": "920-869-2711",
            "fax_number": "920-869-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHO",
        "first_name": "KARI",
        "middle_name": "ANN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9543-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, WI

Sources for this page

Verify at the official NPI Registry.