Kamini S Gupta, FNP-BC in Glendale, WI - Medicare Nurse Practitioner

Kamini S Gupta, FNP-BC is a medicare enrolled "Nurse Practitioner" in Glendale, Wisconsin. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cleanslate Medical Group Of Wisconsin Sc and her current practice location is 377 W River Woods Pkwy Ste 100, Glendale, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 323-6880.

Kamini S Gupta is licensed to practice in Wisconsin (license number 9732) 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 1184260721.

Contact Information

	Kamini S Gupta, FNP-BC
	377 W River Woods Pkwy Ste 100, Glendale, WI 53212-1088
	(414) 323-6880
	(414) 539-3651

Map and Direction

Provider's Profile

Full Name	Kamini S Gupta
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	377 W River Woods Pkwy Ste 100, Glendale, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kamini S Gupta graduated from nursing school in 2019

NPI Data:

NPI Number: 1184260721
Provider Enumeration Date: 11/19/2019
Last Update Date: 03/31/2022

Medicare PECOS Information:

PECOS PAC ID: 9931530581
Enrollment ID: I20200514001353

Medical Identifiers

Medical identifiers for Kamini S Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184260721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	251123 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	9732 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	9732 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cleanslate Medical Group Of Wisconsin Sc	4284905134	30

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. Kamini S Gupta allows following entities to bill medicare on her behalf.

Entity Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

Entity Name	Cleanslate Medical Group Of Wisconsin Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518404854 PECOS PAC ID: 4284905134 Enrollment ID: O20170810002045

Entity Name	Integrity Senior Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710486121 PECOS PAC ID: 4587928130 Enrollment ID: O20180507001002

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. Kamini S Gupta 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
Kamini S Gupta, FNP-BC 377 W River Woods Pkwy Ste 100, Glendale, WI 53212-1088 Ph: (414) 323-6880	Kamini S Gupta, FNP-BC 377 W River Woods Pkwy Ste 100, Glendale, WI 53212-1088 Ph: (414) 323-6880

Reviews and Comments

Nurse Practitioner Nurses in Glendale, WI

Byung Geun Kim, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2501 W Silver Spring Dr, Glendale, WI 53209 Phone: 414-461-9250
Mrs. Kathleen Pugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 W River Woods Pkwy Ste 130, Glendale, WI 53212 Phone: 414-249-2420 Fax: 414-961-0298
Paula M Kiehl, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 475 W River Woods Pkwy, Glendale, WI 53212 Phone: 414-961-6770 Fax: 414-961-6791
Mharajoy S Kobinah, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4655 N Port Washington Rd, Suite 325, Glendale, WI 53212 Phone: 414-269-8282 Fax: 414-269-8280
Lori L. Hartz, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4655n Port Washington Rd 325, Glendale, WI 53212 Phone: 414-269-8282 Fax: 414-269-8280
Mr. David Andrew Schuster, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 W River Woods Pkwy, Glendale, WI 53212 Phone: 414-585-1000
Leah Taylor Donovan, R.N., A.P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 375 W River Woods Pkwy, Suite 205, Glendale, WI 53212 Phone: 414-961-7250 Fax: 414-961-2795

Kamini S Gupta, FNP-BC - Medicare Nurse Practitioner in Glendale, WI