Individual provider Active NPI

Kirsten Bates, RN, FNP-BC

  • Family Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1881090769
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024070795 Issued in WI
Practice address
2015 Crescent Ave
Eau Claire, WI 54703-6015
Phone
(715) 563-6170
NPI assigned
Nov 5, 2014
Reactivated
Mar 5, 2025
Last updated
Apr 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 219847 WI
Family Nurse Practitioner 363LF0000X 2024070795 WI Primary

Addresses

Primary practice location

2015 Crescent Ave
Eau Claire, WI 54703-6015

Mailing address

2015 Crescent Ave
Eau Claire, WI 54703-6015
Phone (715) 563-6170

Other identifiers 1

IdentifierTypeStateIssuer
9439999195MedicaidWI

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
I20250828000050 WI Practitioner - Nurse Practitioner 6204337678 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oak Medical SCGroup PAC ID 0042595175, 118 clinicians

Practice addresses (Care Compare)

110 Belmont Rd
Madison, WI 53714-3129
Phone (608) 249-7391

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219847WIMDRegistered Nurse
2024070795WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Medical SC CurrentSince Aug 15, 2025 Accepting new patients
Oak Medical SC CurrentSince Aug 15, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

110 Belmont Rd
Madison, WI 53714
Phone (308) 249-7391

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

Organizations & group practices 3

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": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1881090769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 CRESCENT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547036015",
            "telephone_number": "715-563-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 CRESCENT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547036015",
            "telephone_number": "715-563-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "KIRSTEN",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "deactivation_date": "2025-02-11",
        "reactivation_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "219847",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2024070795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9439999195",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.