Katie Ann Lukes, APNP
Individual provider Active NPI Family Nurse Practitioner · Algoma, WI
NPI 1841603693 · NPPES record last updated Sep 13, 2019
Key facts
- NPI
- 1841603693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5932-33 (WI)
- Practice address
- 831 Parker St
Algoma, WI 54201-0185 - Phone
- (920) 487-3676
- Fax
- (920) 487-3084
- NPI assigned
- Jun 10, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bellin Memorial Hospital Inc
Practice addresses (Care Compare)
140 B School Creek TRL
Luxemburg, WI 54217-1095
Phone (920) 845-5555
Hospital & facility affiliations
- Bellin Home Health Agency
- Ascension at Home
- Unity Hospice
- Bellin Memorial Hospital
- Door County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141003000197 | WI | Practitioner - Nurse Practitioner | 9931329687 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5932-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital, Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
831 Parker Ave
Algoma, WI 54201
Phone (920) 487-3084
1510 Fremont St
Algoma, WI 54201
Phone (920) 487-3676
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
575 4th St
Kewaunee, WI 54216
Phone (920) 388-4640
140 School Creek Trl
#B
Luxemburg, WI 54217
Phone (920) 845-1370
Interoperability endpoints
- klukes916713@direct.emplifyhealth.org
- klukes43100@direct.thedacare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 163224-30 | WI | |
| Family Nurse Practitioner | 363LF0000X | 5932-33 | WI | Yes |
Addresses
Primary practice location
831 Parker St
Algoma, WI 54201-0185
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other names
- Katie Anne Gregorich
Other providers in Algoma, WI
- Ellen Knipfer
- Christopher John Konop
- Lakeshore Vision Centers, LTD
- Cynthia Ann Laluzerne
- Lighthouse Chiropractic, LLC
- Lynne M Lukes
- Ralph Bradley Nelson
- Oconto Hospital & Medical Center Inc
- Lisa Olson
- Rebecca Havel Prust
All providers in Algoma, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.