Katie L Prucha, APNP - Medicare Nurse Practitioner in Menomonee Falls, WI

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Katie L Prucha, APNP is a medicare enrolled "Nurse Practitioner - Family" in Menomonee Falls, Wisconsin. Her current practice location is W165n5595 Creekwood Xing, Menomonee Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 252-1050.

Katie L Prucha is licensed to practice in Wisconsin (license number 5980-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376943803.

Contact Information

Katie L Prucha, APNP
W165n5595 Creekwood Xing,
Menomonee Falls, WI 53051-0685
(262) 252-1050
Not Available

Map and Direction




Provider's Profile

Full NameKatie L Prucha
GenderFemale
SpecialityNurse Practitioner - Family
LocationW165n5595 Creekwood Xing, Menomonee Falls, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376943803
  • Provider Enumeration Date: 09/03/2014
  • Last Update Date: 06/23/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2365661337
  • Enrollment ID: I20140924001552

Medical Identifiers

Medical identifiers for Katie L Prucha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376943803NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5980-33 (Wisconsin)Primary
363LF0000XNurse Practitioner - Family 174355 (Wisconsin)Secondary

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. Katie L Prucha allows following entities to bill medicare on her behalf.
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057
Entity NameAscension Medical Group-fox Valley Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730126392
PECOS PAC ID: 0244142420
Enrollment ID: O20031105000351
Entity NamePrevea Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306869276
PECOS PAC ID: 0042123150
Enrollment ID: O20031106000034

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. Katie L Prucha 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
Katie L Prucha, APNP
W244n5706 Falcon Dr,
Sussex, WI 53089-5056

Ph: (920) 242-6960		Katie L Prucha, APNP
W165n5595 Creekwood Xing,
Menomonee Falls, WI 53051-0685

Ph: (262) 252-1050

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.