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Active NPI 1841403888 Individual Practitioner Female Practitioner

Kristi E Caddock , NP

Nurse Practitioner • West Bend, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kristi Caddock, NP is a certified Nurse Practitioner practicing in West Bend, WI. With approximately 23 years of clinical experience since completing medical education in 2003, Kristi Caddock delivers high-quality medical care to the local community at 3200 PLEASANT VALLEY RD.

Kristi Caddock is affiliated with The Medical College Of Wisconsin 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, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3200 Pleasant Valley Rd
Kraemer Cancer Care Center

West Bend, WI 530959274

Telephone 2628367200
Fax 2628367201
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in West Bend, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +8.6 yrs vs City Avg
City Avg: 14.4 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
16 Specialists

Practicing in West Bend, WI (4030 Statewide)

Telehealth Adoption Rate
43.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
76.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Caddock (23 Years) 23 Yrs
West Bend Specialty Average (14.4 Years) 14.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
403 194 $366.00 $78.32
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
335 177 $84.00 $13.39
99441 Telephone medical discussion with physician, 5-10 minutes
40 34 $60.00 $29.50

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 3091

(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
1841403888 (WI)

Hospital & Practice Group Affiliations

The Medical College Of Wisconsin Inc

3200 Pleasant Valley Rd, West Bend, WI 530959274

Phone: 2628367300

The Medical College Of Wisconsin Inc

8701 W Watertown Plank, Milwaukee, WI 532263548

Phone: 4148053666

The Medical College Of Wisconsin Inc

3212 Pleasant Valley Rd, West Bend, WI 530959274

Phone: 2623346165

The Medical College Of Wisconsin Inc

8701 Watertown Plank Rd, Milwaukee, WI 532263548

Phone: 4148053666

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Abdel Hai Alqwasmi , MD

Internal Medicine - Hematology & Oncology

NPI 1003055302

Doctor of Medicine (M.D.)

Dr. John Burfeind , MD

Internal Medicine - Hematology & Oncology

NPI 1316026214

Doctor of Medicine (M.D.)

Dr. Ajit Divgi , MD

Internal Medicine - Hematology & Oncology

NPI 1568453223

Doctor of Medicine (M.D.)

Dr. Colin Mooney , MD

Internal Medicine - Hematology & Oncology

NPI 1831302082

Doctor of Medicine (M.D.)

Lisa Sullivan , BSN, RN, OCN

Internal Medicine - Hematology & Oncology

NPI 1912876574

Bachelor of Science in Nursing, Registered Nurse, OCN

Monica Ryan , PA-C

Physician Assistant - Surgical

NPI 1962756460

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2013

Registered at 3200 PLEASANT VALLEY RD, KRAEMER CANCER CARE CENTER, WEST BEND, WI 530959274 (Tel: 2628367200)

📍
Updated Business Mailing Address February 14, 2013

Registered at 3200 PLEASANT VALLEY RD, KRAEMER CANCER CARE CENTER, WEST BEND, WI 530959274 (Tel: 2628367200)

👤
Provider Name / Credentials Updated February 14, 2013

Recorded as KRISTI CADDOCK, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2013

Nurse Practitioner (License #3091 in WI)

🟢
Initial NPI Registration & Enumeration May 07, 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: 1841403888
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2007
Last Update: February 14, 2013
Sole Proprietor: No

Mailing Address

3200 Pleasant Valley Rd, Kraemer Cancer Care Center

West Bend, WI 530959274

Phone: 2628367200

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.