Stephanie Kelly Drew, CRNP - Medicare Nurse Practitioner in West Bend, WI

Stephanie Kelly Drew, CRNP is a medicare enrolled "Nurse Practitioner - Family" in West Bend, Wisconsin. She went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wisconsin Spine And Pain Sc and her current practice location is 1000 Gateway Ct Ste 100, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 204-6758.

Stephanie Kelly Drew is licensed to practice in Wisconsin (license number 12021-33) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235408691.

Contact Information

Stephanie Kelly Drew, CRNP
1000 Gateway Ct Ste 100,
West Bend, WI 53095-8541
(920) 204-6758
(888) 720-0495

Map and Direction




Provider's Profile

Full NameStephanie Kelly Drew
GenderFemale
SpecialityNurse Practitioner
Experience23 Years
Location1000 Gateway Ct Ste 100, West Bend, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stephanie Kelly Drew attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2001
  NPI Data:
  • NPI Number: 1235408691
  • Provider Enumeration Date: 12/14/2011
  • Last Update Date: 07/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133358625
  • Enrollment ID: I20220731000131

Medical Identifiers

Medical identifiers for Stephanie Kelly Drew such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235408691NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN585810 (Pennsylvania)Secondary
163W00000XRegistered Nurse R212599-6 (Minnesota)Secondary
363LF0000XNurse Practitioner - Family SP011850 (Pennsylvania)Secondary
363LF0000XNurse Practitioner - Family R212599-6 (Minnesota)Secondary
363LF0000XNurse Practitioner - Family 12021-33 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wisconsin Spine And Pain Sc034566546912

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. Stephanie Kelly Drew allows following entities to bill medicare on her behalf.
Entity NameWisconsin Spine And Pain Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790309276
PECOS PAC ID: 0345665469
Enrollment ID: O20200806002745

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. Stephanie Kelly Drew 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 AddressPractice Location Address
Stephanie Kelly Drew, CRNP
7235 Ohms Ln,
Edina, MN 55439-2148

Ph: (952) 841-2345
Stephanie Kelly Drew, CRNP
1000 Gateway Ct Ste 100,
West Bend, WI 53095-8541

Ph: (920) 204-6758

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.