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Active NPI 1720601297 Individual Practitioner Female Practitioner

Kelly Flack , APNP

Nurse Practitioner • Oshkosh, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kelly Flack, APNP is a certified Nurse Practitioner practicing in Oshkosh, WI. With approximately 6 years of clinical experience since completing medical education in 2020, Kelly Flack delivers high-quality medical care to the local community at 855 N WESTHAVEN DR.

Kelly Flack is affiliated with Bellin Memorial Hospital Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, coronary artery bypass using artery graft, 1 graft, harvest of veins for coronary artery bypass procedure using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

855 N Westhaven Dr

Oshkosh, WI 549047668

Telephone 9200338700
Fax 9204565901
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Oshkosh, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -3.8 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
94 Specialists

Practicing in Oshkosh, WI (4030 Statewide)

Telehealth Adoption Rate
17.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
70.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Flack (6 Years) 6 Yrs
Oshkosh Specialty Average (9.8 Years) 9.8 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
14 14 $238.00 $71.04

Medical Specialties & State Licenses

CMS Verified: 2021-11-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 10176-33

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License WI 177650-30

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WI 10176-33

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100146891 (WI)
Commercial Insurance / Payer ID Wisconsin Apnp License
10176-33 (WI)
Commercial Insurance / Payer ID Wisconsin Rn License
177650-30 (WI)

Hospital & Practice Group Affiliations

Bellin Memorial Hospital Inc

720 S Van Buren St, Green Bay, WI 543013534

Phone: 9204337488

Practice Associates & Co-Workers

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

10 Associated Practitioners
Matthew Bay , PA

Physician Assistant

NPI 1033359401

Physician Assistant

Dr. Anita Gheller-Rigoni , DO

Internal Medicine - Allergy & Immunology

NPI 1073543096

Doctor of Osteopathic Medicine (D.O.)

Dr. Phyllis Lee , MD

Family Medicine

NPI 1124010749

Doctor of Medicine (M.D.)

Kristin Koch , CRNA, APNP, MS

Nurse Anesthetist, Certified Registered

NPI 1306825054

Certified Registered Nurse Anesthetist, Advanced Practice Nurse Prescriber, Master of Science

Isna Khan

Internal Medicine

NPI 1316432529
Dr. Julie Sheehan , DO

Family Medicine

NPI 1588771778

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 15, 2021

Registered at 855 N WESTHAVEN DR, OSHKOSH, WI 549047668 (Tel: 9200338700)

📍
Updated Business Mailing Address September 15, 2021

Registered at 855 N WESTHAVEN DR, OSHKOSH, WI 549047668 (Tel: 9200338700)

👤
Provider Name / Credentials Updated October 15, 2020

Recorded as KELLY FLACK, APNP

NPI Profile Active May 19, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2020

Registered at 2428 PINEHURST CIR, GREEN BAY, WI 543024215 (Tel: 9205620686)

📍
Updated Business Mailing Address May 19, 2020

Registered at 2428 PINEHURST CIR, GREEN BAY, WI 543024215 (Tel: 9205620686)

👤
Provider Name / Credentials Updated May 19, 2020

Recorded as KELLY FLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2020

Registered Nurse (License #177650-30 in WI)

🟢
Initial NPI Registration & Enumeration May 19, 2020

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: 1720601297
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2020
Last Update: November 18, 2021
Sole Proprietor: Yes

Mailing Address

855 N Westhaven Dr

Oshkosh, WI 549047668

Phone: 9200338700

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.