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Active NPI 1710172614 Individual Practitioner Female Practitioner

Kim A Mittelstadt , APNP

Nurse Practitioner • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Kim Mittelstadt, APNP is a registered healthcare professional specializing in Nurse Practitioner in Appleton, WI. Practice services are available at 2500 E CAPITOL DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, test to measure oxygen level in blood using ear or finger device continuously overnight. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2500 E Capitol Dr
Suite 1700

Appleton, WI 549118735

Telephone 9207349600
Fax 9207344773
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
156 Specialists

Practicing in Appleton, WI (4030 Statewide)

Telehealth Adoption Rate
6.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
95 94 $282.00 $72.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
86 85 $399.00 $101.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
19 19 $517.00 $133.28

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 3159-033

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1710172614 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Danielle Ratter

Nurse Practitioner

NPI 1073271961
Dr. Laurin Bellg , MD

Internal Medicine - Critical Care Medicine

NPI 1073542221

Doctor of Medicine (M.D.)

Dr. Scott Parrish , MD

Internal Medicine - Pulmonary Disease

NPI 1073672390

Doctor of Medicine (M.D.)

Dr. Michael Maguire , MD

Internal Medicine - Critical Care Medicine

NPI 1124186721

Doctor of Medicine (M.D.)

Stacy Mielke , FNP-BC

Nurse Practitioner - Family

NPI 1255037305

Family Nurse Practitioner (Board Certified)

Michelle Werner , FNP

Nurse Practitioner - Family

NPI 1346726791

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 29, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2015

Registered at 2500 E CAPITOL DR, SUITE 1700, APPLETON, WI 549118735 (Tel: 9207349600)

📍
Updated Business Mailing Address April 29, 2015

Registered at 2500 E CAPITOL DR, SUITE 1700, APPLETON, WI 549118735 (Tel: 9207349600)

👤
Provider Name / Credentials Updated April 29, 2015

Recorded as KIM MITTELSTADT, APNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2015

Nurse Practitioner (License #3159-033 in WI)

🟢
Initial NPI Registration & Enumeration September 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710172614
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2007
Last Update: April 29, 2015
Sole Proprietor: No

Mailing Address

2500 E Capitol Dr, Suite 1700

Appleton, WI 549118735

Phone: 9207349600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.