KATHLEEN M ERDAHL – Family Nurse Practitioner, NPI 1043748189
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,033 NURSE PRACTITIONER in WI
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Provider Addresses for KATHLEEN M ERDAHL
122, East College Avenue, Appleton, Outagamie County, Wisconsin, 54911, United States
APPLETON, WI 549115794
Phone: (920) 996-3264
Fax: (920) 830-5910
Type: Mailing
Encircle Health, 2500, East Capitol Drive, Northeast Business Park, Appleton, Outagamie County, Wisconsin, 54911, United States
APPLETON, WI 549118735
Phone: (920) 830-5879
Type: Location
3 NEENAH CTR
NEENAH, WI 549563070
Phone: (920) 830-6877
Type: Mailing
3925 N GATEWAY DR
APPLETON, WI 549137863
Phone: (920) 830-6877
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $620.
Total Amount is formed as General ($620) + Research ($0) + Ownership ($0) = $620.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ABBVIE INC. ($620).
Total Amount
$620
General + Research + Ownership
Payments
29
Total payment records
General Amount
$620
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $620 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171108000463 | I | Nurse Practitioner | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 35 | 34 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 15 | 14 | $0 |
| 71046 | X-ray of chest, 2 views | 14 | 14 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 13 | 13 | $0 |
Insurance plans in this area (ZIP 54911)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| Family Practice | WI | |
| - | FL | |
| Hospitalist, Internal Medicine | MI | |
| P S Y C H I A T R Y | WI | |
| - | WI | |
| - | WA | |
| Physician Assistant | WI | |
| Family Practice | WI | |
| Nurse Practitioner | WI |
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