Individual provider Active NPI

Kim Litwack, NP

  • Nurse Practitioner
  • Madison, WI
National Provider Identifier
1912026386
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2411 Issued in WI
Practice address
34 Schroeder CT
Suite 100
Madison, WI 53711-2525
Phone
(608) 288-7246
Fax
(608) 288-7999
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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 2411 WI Primary

Addresses

Primary practice location

34 Schroeder CT
Suite 100
Madison, WI 53711-2525

Mailing address

4131 W Loomis Rd
Suite 300
Greenfield, WI 53221-2051
Phone (414) 325-7246

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
I20080423000328 WI Practitioner - Nurse Practitioner 8729166343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
59.26
Promoting interoperability
98
Improvement activities
40
Cost
72.4

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management SC CurrentSince Aug 21, 2014 Accepting new patients
Pain Physicians of Wisconsin, SC CurrentSince Jan 1, 2022 Accepting new patients
Advanced Pain Management, SC CurrentSince Aug 21, 2014 Accepting new patients
University of Wisconsin System Non Payroll PastSince Jan 1, 2016 Accepting new patients
Madison Surgicenter LLC Past Accepting new patients

Locations

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

1604 Madison Ave
Fort Atkinson, WI 53538
Phone (920) 568-5000

721 Cardinal Ln
Ste 103
Green Bay, WI 54313

34 Schroeder Ct
Madison, WI 53711
Phone (608) 409-3400

34 Schroeder Ct
Ste 100
Madison, WI 53711
Phone (608) 288-7246

2500 W Layton Ave
Ste 200
Milwaukee, WI 53221
Phone (414) 282-5105

5007 S Howell Ave
Ste 115
Milwaukee, WI 53207
Phone (414) 325-3737

4131 W Loomis Rd
Ste 300
Milwaukee, WI 53221
Phone (414) 325-3713

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1912026386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 W LOOMIS RD",
            "address_2": "SUITE 300",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212051",
            "telephone_number": "414-325-7246",
            "fax_number": "414-325-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SCHROEDER CT",
            "address_2": "SUITE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112525",
            "telephone_number": "608-288-7246",
            "fax_number": "608-288-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITWACK",
        "first_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.