Miss Kelly M Wisch
NP | Nurse Practitioner | 22+ years Exp
1300 S Century Ave, Waunakee
Wisconsin, 53597-2386
608-849-4315
Accepts Medicare Nurse Anesthetist in Waunakee, Wisconsin.Miss Kelly M Wisch is a Waunakee, Wisconsin based nurse practitioner with 22 years of experience in . She completed her graduation in 2003. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Miss Kelly M Wisch is 2345-033 in Wisconsin. Her current practice location is 1300 S Century Ave, Waunakee. Patients can reach her at 608-849-4315 or can fax her at 608-850-1606. Miss Kelly M Wisch is NP and her NPI number (Unique professional ID assigned by NPPES) is 1376592543.
Miss Kelly M Wisch 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:
Miss Kelly M Wisch speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Miss Kelly M Wisch |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 22+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2003 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1300 S Century Ave, Waunakee, Wisconsin, 53597-2386 |
| Phone: | 608-849-4315 |
| Fax: | 608-850-1606 |
Professional Identification Codes:
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: | 9537067277 |
| Enrollment ID: | I20031219000733 |
| NPI Number: | 1376592543 |
| NPI Enumeration Date: | 08 May, 2006 |
| NPI Last Update On: | 25 Aug, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Kelly M Wisch are as mentioned below.
| License Number | Specialization | State | Status | |
| 2345-033 | | Wisconsin | Primary | |
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 Miss Kelly M Wisch is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Dean Health Systems Inc (7012827983) | 956 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Miss Kelly M Wisch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1376592543 | 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: | Miss Kelly M Wisch 1300 S Century Ave, Waunakee, Wisconsin |
| Zip: | 53597-2386 |
| Phone Number: | 608-849-4315 |
| Fax Number: | 608-850-1606 |
Patients can reach Miss Kelly M Wisch at
1300 S Century Ave, Waunakee, Wisconsin or can
call to book an appointment on 608-849-4315.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.