Kimberli Louise Carroll, MSN, NNP in Grafton, WI

Kimberli Louise Carroll, MSN, NNP is a medicare enrolled "Nurse Practitioner" in Grafton, Wisconsin. Her current practice location is 975 Port Washington Rd, Nicu, Grafton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 329-4900.

Kimberli Louise Carroll is licensed to practice in Wisconsin (license number 1896-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952554289.

Contact Information

	Kimberli Louise Carroll, MSN, NNP
	975 Port Washington Rd, Nicu, Grafton, WI 53024-9201
	(262) 329-4900
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberli Louise Carroll
Gender	Female
Speciality	Nurse Practitioner
Location	975 Port Washington Rd, Grafton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952554289
Provider Enumeration Date: 10/30/2008
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 9133372105
Enrollment ID: I20121227000299

Medical Identifiers

Medical identifiers for Kimberli Louise Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952554289	NPI	-	NPPES
100026057	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	130979-030 (Wisconsin)	Secondary
363LN0000X	Nurse Practitioner - Neonatal	1896-33 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	1896-33 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberli Louise Carroll allows following entities to bill medicare on her behalf.

Entity Name	Aurora Advanced Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberli Louise Carroll is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberli Louise Carroll, MSN, NNP 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2152	Kimberli Louise Carroll, MSN, NNP 975 Port Washington Rd, Nicu, Grafton, WI 53024-9201 Ph: (262) 329-4900

Reviews and Comments

Nurse Practitioner Nurses in Grafton, WI

Mrs. Rachel Emily Rejniak, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1615 Willow Ct, Grafton, WI 53024 Phone: 262-365-3008
Mrs. Margaret Aikins Keup, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000
Rebekah L Otte, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-8150
Bonita J. Wendel, APNP/BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2061 Cheyenne Ct, Grafton, WI 53024 Phone: 262-376-1934
Kaylee Lynn Popp, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2061 Cheyenne Ct, Grafton, WI 53024 Phone: 262-376-1934
Patricia G Wilhelme, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 262-329-1001
Jennifer A Krueger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-8600

Kimberli Louise Carroll, MSN, NNP - Medicare Nurse Practitioner in Grafton, WI