Individual provider Active NPI

Becki Kuik-Connor

  • Nurse Practitioner
  • Madison, WI
National Provider Identifier
1881133882
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7555 Issued in WI
Practice address
801 Braxton PL
Madison, WI 53715-1415
Phone
(608) 260-2700
NPI assigned
Feb 23, 2017
Last updated
May 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 151466 WI
Acute Care Nurse Practitioner 363LA2100X 7555 WI
Nurse Practitioner 363L00000X 7555 WI Primary

Addresses

Primary practice location

801 Braxton PL
Madison, WI 53715-1415

Mailing address

801 Braxton PL
Madison, WI 53715-1415

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
I20170413000431 WI Practitioner - Nurse Practitioner 5092091736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

801 Braxton PL
Madison, WI 53715-1415
Phone (608) 260-2710

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151466WIMDRegistered Nurse
7555WIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince May 8, 2017 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince May 8, 2017 Accepting new patients

Locations

801 Braxton Pl
Madison, WI 53715
Phone (608) 251-1010

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

Organizations & group practices 2

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1881133882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BRAXTON PL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BRAXTON PL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151415",
            "telephone_number": "608-260-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUIK-CONNOR",
        "first_name": "BECKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "151466",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "7555",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "7555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.