Individual provider Active NPI

Kaelyn E Huebschman, APNP

  • Nurse Practitioner
  • De Pere, WI
National Provider Identifier
1912478835
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8995 Issued in WI
Practice address
1716 Lawrence Dr Ste 103
De Pere, WI 54115-9108
Phone
(920) 632-6800
Fax
(920) 632-6806
NPI assigned
Dec 17, 2018
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 8995 WI Primary

Addresses

Primary practice location

1716 Lawrence Dr Ste 103
De Pere, WI 54115-9108

Mailing address

1716 Lawrence Dr Ste 103
De Pere, WI 54115-9108
Phone (920) 632-6800

Other practice location 1

1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 632-6800

Other practice location 2

614 Memorial Dr
Chilton, WI 53014-1568
Phone (920) 632-6800

Other practice location 3

451 E Brooklyn St Ste 1
Chilton, WI 53014-1595
Phone (920) 632-6800

Other practice location 4

1540 Lyon Dr
Neenah, WI 54956-5035
Phone (920) 632-6800

Other practice location 5

500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 632-6800

Other practice location 6

2700 W 9th Ave Ste 305
Oshkosh, WI 54904-7865
Phone (920) 632-6800

Other practice location 7

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 632-6800

Other identifiers 1

IdentifierTypeStateIssuer
100085218MedicaidWI

Other names 1

  • Kaelyn E Freiberg Former name

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
I20190219001261 WI Practitioner - Nurse Practitioner 8628316577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alleviate Pain and Spine, SCGroup PAC ID 9436670916, 8 clinicians

Practice addresses (Care Compare)

1716 Lawrence Dr
Suite 103
De Pere, WI 54115-9108
Phone (920) 276-8600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. Current Accepting new patients
Alleviate Pain and Spine, SC CurrentSince Nov 1, 2025 Accepting new patients
Women's Health Specialists, S.C. Past Accepting new patients
Vital Anesthesia Associates SC PastSince Nov 1, 2025 Accepting new patients

Locations

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

451 E Brooklyn St
Ste 1
Chilton, WI 53014
Phone (920) 276-8600

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

1716 Lawrence Dr
#103
De Pere, WI 54115
Phone (920) 276-8600

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

1540 Lyon Dr
Neenah, WI 54956
Phone (920) 727-4946

2700 W 9th Ave
Ste 305
Oshkosh, WI 54904
Phone (920) 223-3500

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

700 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 456-2030

1242 W Fond du Lac St
Ripon, WI 54971
Phone (920) 722-7747

Interoperability endpoints

  • Direct secure messaging: khuebschman294561@direct.myadvocateaurora.org

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.

Hospital & facility affiliations 8

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1912478835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 LAWRENCE DR STE 103",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159108",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 LAWRENCE DR STE 103",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159108",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549151846",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "614 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Chilton",
            "state": "WI",
            "postal_code": "530141568",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "451 E Brooklyn St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chilton",
            "state": "WI",
            "postal_code": "530141595",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 Lyon Dr",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549565035",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S Oakwood Rd",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549047944",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 W 9th Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549047865",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1506 S Oneida St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549151305",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUEBSCHMAN",
        "first_name": "KAELYN",
        "middle_name": "E",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100085218",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAELYN",
            "last_name": "FREIBERG",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in De Pere, WI

Sources for this page

Verify at the official NPI Registry.