Kimberly Kate Mizelle, APNP - Dermatology in Lake Geneva, WI

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Kimberly Kate Mizelle, APNP is a Dermatology physician based in Lake Geneva, Wisconsin. Kimberly Kate Mizelle is licensed to practice in Wisconsin (license number 1729533) and her current practice location is N2950 State Road 67, Lake Geneva, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 245-0535.

NPI number for Kimberly Kate Mizelle is 1497632103 and her current mailing address is 225 Grace St, Walworth, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497632103.

Contact Information

Kimberly Kate Mizelle, APNP
N2950 State Road 67,
Lake Geneva, WI 53147-2655
(262) 245-0535
(262) 245-4627

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Physician's Profile

Full NameKimberly Kate Mizelle
GenderFemale
SpecialityDermatology
LocationN2950 State Road 67, Lake Geneva, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1497632103
  • Provider Enumeration Date: 08/18/2025
  • Last Update Date: 08/18/2025

Medical Identifiers

Medical identifiers for Kimberly Kate Mizelle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497632103NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1729533 (Wisconsin)Secondary
207N00000XDermatology 1729533 (Wisconsin)Primary

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. Kimberly Kate Mizelle is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Kate Mizelle, APNP
225 Grace St,
Walworth, WI 53184-9636

Ph: (262) 745-9353		Kimberly Kate Mizelle, APNP
N2950 State Road 67,
Lake Geneva, WI 53147-2655

Ph: (262) 245-0535

Reviews and Comments


Dermatology Doctors in Lake Geneva, WI

Dr. Marguerite R Compton, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: N2950 State Road 67, Lake Geneva, WI 53147
Phone: 262-245-0535    
Dr. Rhonda Ganansky, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: W1383 N Bloomfield Rd, Lake Geneva, WI 53147
Phone: 262-812-7097    

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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.

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