| Kelly Branstrom, NP | |
|
130 2nd St, Neenah, WI 54956-2883 | |
| (920) 725-2070 | |
| Not Available |
| Full Name | Kelly Branstrom |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 130 2nd St, Neenah, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497202303 | NPI | - | NPPES |
| 100062155 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 171753-30 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 7235-033 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Branstrom, NP 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8700 | Kelly Branstrom, NP 130 2nd St, Neenah, WI 54956-2883 Ph: (920) 725-2070 |
Alexander Brian Goyette, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373 | |
Lori A. Franck, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956 Phone: 920-725-4527 | |
Mrs. Bonnie B Hoersch, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2738 Fax: 920-729-3023 | |
Pamela Macwilliams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 2nd St Ste 197, Neenah, WI 54956 Phone: 920-729-2030 | |
Mrs. Carissa Jo Ranieri, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 W American Dr, Neenah, WI 54956 Phone: 920-430-8113 | |
Ellen Beltz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2738 | |
Marie K Dziewit, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956 Phone: 920-725-4527 Fax: 920-729-2378 |