Active NPI 1548632219 Individual Practitioner Female Practitioner

Kim Doan Gilbert , APNP

Nurse Practitioner • Kenosha, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kim Gilbert, APNP is a certified Nurse Practitioner practicing in Kenosha, WI. With approximately 11 years of clinical experience since completing medical education in 2015, Kim Gilbert delivers high-quality medical care to the local community at 10400 75TH ST STE 700.

Kim Gilbert is affiliated with Froedtert South Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, measurement of liver stiffness. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10400 75th St Ste 700

Kenosha, WI 531427884

Telephone 2629487000

Associated Practice Facility / Clinic

🏢 Aurora Medical Group, Inc. Facility NPI 1447392915

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Kenosha, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +1.3 yrs vs City Avg

City Avg: 9.7 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

76 Specialists

Practicing in Kenosha, WI (4030 Statewide)

Telehealth Adoption Rate

9.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilbert (11 Years) 11 Yrs

Kenosha Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	87	$350.00	$70.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	61	$515.00	$100.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$510.00	$87.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$755.00	$126.41
91200 Measurement of liver stiffness	19	19	$377.11	$22.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	174	143	$330.00	$72.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$485.00	$88.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$499.60	$95.80
91200 Measurement of liver stiffness	20	20	$396.50	$24.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$720.00	$134.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	128	112	$313.00	$70.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$460.00	$90.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	64	38	$480.00	$82.28
99221 Initial hospital inpatient care per day, typically 30 minutes	33	32	$415.00	$78.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$465.00	$105.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	85	77	$295.00	$75.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$430.00	$91.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	79	52	$450.00	$81.37
99221 Initial hospital inpatient care per day, typically 30 minutes	42	41	$401.19	$81.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	34	$435.00	$102.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$645.00	$129.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$407.00	$87.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	42	$424.30	$85.23
99213 Established patient office or other outpatient visit, typically 15 minutes	40	39	$281.00	$61.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	26	$430.00	$84.90
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	19	19	$50.00	$10.67
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$375.00	$81.86
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$240.00	$59.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	103	$265.00	$59.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$389.00	$87.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	34	$419.00	$82.98
99221 Initial hospital inpatient care per day, typically 30 minutes	42	41	$360.00	$81.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	27	$307.00	$57.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$396.76	$88.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83036 Hemoglobin A1C level	53	31	$16.00	$11.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83036 Hemoglobin A1C level	35	24	$16.00	$13.05

Medical Specialties & State Licenses

CMS Verified: 2024-10-21

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 6644

(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

100049223 (WI)

Hospital & Practice Group Affiliations

Froedtert South Inc

9697 Saint Catherines Dr, Pleasant Prairie, WI 531582118

Phone: 2626563590

Practice Associates & Co-Workers

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

26 Associated Practitioners

David Kite , PA

Physician Assistant

NPI 1023261708

Physician Assistant

Dr. Terry Zehr , MD

Preventive Medicine - Occupational Medicine

NPI 1184601924

Doctor of Medicine (M.D.)

Nisha Vermani , NP

Nurse Practitioner

NPI 1184978694

Nurse Practitioner

Dr. Priti Patel , MD

Family Medicine

NPI 1205843067

Doctor of Medicine (M.D.)

Dr. Mark Neerhof , DO

Obstetrics & Gynecology - Maternal & Fetal Medicine

NPI 1255359675

Doctor of Osteopathic Medicine (D.O.)

Joanne Ramey , NP

Nurse Practitioner

NPI 1255528147

Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Business Mailing Address October 21, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

📍

Updated Practice Location February 19, 2019

Registered at 10400 75TH ST STE 700, KENOSHA, WI 531427884 (Tel: 2629487000)

📍

Updated Business Mailing Address February 19, 2019

Registered at 10400 75TH ST STE 700, KENOSHA, WI 531427884 (Tel: 2629487000)

📍

Updated Practice Location July 17, 2018

Registered at 4536 22ND AVE, KENOSHA, WI 53140 (Tel: 2626560044)

👤

Provider Name / Credentials Updated July 17, 2018

Recorded as KIM GILBERT, APNP

✅

NPI Profile Active October 21, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 21, 2015

Registered at 4536 22ND AVE, KENOSHA, WI 531405917 (Tel: 2626560044)

📍

Updated Business Mailing Address October 21, 2015

Registered at 625 57TH ST, SUITE 700, KENOSHA, WI 531404146 (Tel: 2627643622)

👤

Provider Name / Credentials Updated October 21, 2015

Recorded as KIM DOAN, APNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2015

Nurse Practitioner (License #6644 in WI)

🟢

Initial NPI Registration & Enumeration October 21, 2015

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: 1548632219

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 21, 2015

Last Update: October 21, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.