Kathy Ann Gates, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Clear Lake, Wisconsin. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Croix Valley Shared Services Inc and her current practice location is
370 3rd Avenue, Clear Lake, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 554-4224.
Kathy Ann Gates is licensed to practice in Wisconsin (license number 13578-33) 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 1356040612.
Provider's Profile
| Full Name | Kathy Ann Gates |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 370 3rd Avenue, Clear Lake, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kathy Ann Gates graduated from nursing school in 2022
NPI Data:
- NPI Number: 1356040612
- Provider Enumeration Date: 02/27/2023
- Last Update Date: 07/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557727039
- Enrollment ID: I20230525003166
Medical Identifiers
Medical identifiers for Kathy Ann Gates such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356040612 | NPI | - | NPPES |
| 13578-33 | Other | WI | RN LICENSE # |
| 249808-30 | Other | WI | APRN LICENSE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 13578-33 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Croix Valley Shared Services Inc | 0244211258 | 2 |
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. Kathy Ann Gates allows following entities to bill medicare on her behalf.
| Entity Name | Baldwin Area Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467496133
PECOS PAC ID: 7911800586
Enrollment ID: O20040310000505 |
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| Entity Name | St Croix Valley Shared Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578774014
PECOS PAC ID: 0244211258
Enrollment ID: O20210510001789 |
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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. Kathy Ann Gates 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 |
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Kathy Ann Gates, FNP-C
Po Box 133,
Clear Lake, WI 54005-0133
Ph: (715) 554-4224 | Kathy Ann Gates, FNP-C
370 3rd Avenue,
Clear Lake, WI 54005-9658
Ph: (715) 554-4224 |
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