Kelley Lou Gossage is a De Pere, Wisconsin based nurse practitioner with 26 years of experience in . She completed her graduation in 1998. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelley Lou Gossage is 1259 in Wisconsin. Her current practice location is 3860 Monroe Rd, De Pere. Patients can reach her at 920-496-4700 or can fax her at 920-496-4705. Kelley Lou Gossage is APNP and her NPI number (Unique professional ID assigned by NPPES) is 1679598023. Kelley Lou Gossage has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelley Lou Gossage speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5092730630
Enrollment ID:
I20051012000556
NPI Number:
1679598023
NPI Enumeration Date:
13 Jul, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelley Lou Gossage are as mentioned below.
License Number
Specialization
State
Status
1259
Wisconsin
Primary
87057
Registered Nurse
Wisconsin
Secondary
1259
Nurse Practitioner
Wisconsin
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(520075)
Green bay, WI
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kelley Lou Gossage is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
St Vincent Hospital-hospital Sisters-third Order Of St Francis (5799694675)
528
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelley Lou Gossage such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
43971300
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kelley Lou Gossage Po Box 19070, Prevea Health Green Bay, Wisconsin
Zip:
54307-9070
Phone Number:
920-496-4700
Fax Number:
920-496-4705
Patients can reach Kelley Lou Gossage at 3860 Monroe Rd, De Pere, Wisconsin or can call to book an appointment on 920-496-4700.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.