Jeremy L Kaup, PMHNP - Medicare Nurse Practitioner in Sturtevant, WI

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Jeremy L Kaup, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Sturtevant, Wisconsin. His current practice location is 3224 Kennsington Square Rd, Sturtevant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 206-0412.

Jeremy L Kaup is licensed to practice in Wisconsin (license number 13690-33) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649970773.

Contact Information

Jeremy L Kaup, PMHNP
3224 Kennsington Square Rd,
Sturtevant, WI 53177-2821
(262) 206-0412
Not Available

Map and Direction




Provider's Profile

Full NameJeremy L Kaup
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3224 Kennsington Square Rd, Sturtevant, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649970773
  • Provider Enumeration Date: 03/07/2023
  • Last Update Date: 05/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8224493911
  • Enrollment ID: I20230502002758

Medical Identifiers

Medical identifiers for Jeremy L Kaup such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649970773NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 13690-33 (Wisconsin)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 13690-33 (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. Jeremy L Kaup allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421
Entity NameProfessional Services Group Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619024262
PECOS PAC ID: 8224296454
Enrollment ID: O20120220000742

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. Jeremy L Kaup 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
Jeremy L Kaup, PMHNP
3224 Kennsington Square Rd,
Sturtevant, WI 53177-2821

Ph: (262) 206-0412		Jeremy L Kaup, PMHNP
3224 Kennsington Square Rd,
Sturtevant, WI 53177-2821

Ph: (262) 206-0412

Reviews and Comments


Nurse Practitioner Nurses in Sturtevant, WI

Jeanie Marie Kramer I, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2019 Wisconsin St, Sturtevant, WI 53177
Phone: 608-249-9931    
Jordan Jon Stensgard, MSN, APNP, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8311 16th St, Sturtevant, WI 53177
Phone: 262-260-3671    Fax: 262-260-5013

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.