KELLY M DERLEIN (ACNPC-AG) – Acute Care Nurse Practitioner, NPI 1154982296

KELLY M DERLEIN (ACNPC-AG) is a healthcare provider. based in Marshfield, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNPC-AG. They hold a License No. 936233 (WI). The NPI Number for KELLY M DERLEIN (ACNPC-AG) is 1154982296

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KELLY M DERLEIN (ACNPC-AG)
NPI
1154982296
Phone
(715) 383-3434
Address
1000 NORTH OAK AVE
Enumeration Date
27 June 2019
Last Update Date
21 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7153931000
Graduation Year
2019 (7 years ago)
PAC ID
8921337676
Group Practice PAC ID
5698071173
Professional Enrollment ID
I20190906000064
Address ID
WI544765220WE3400XPKWY300

Contacts

Secure Messaging
jonas.kelly@marshfieldclinic.org
Secure Messaging
him@marshfieldclinichealthsystem.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness95
Years active:6State licenses:1Other names

6,033 NURSE PRACTITIONER in WI

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Provider Addresses for KELLY M DERLEIN (ACNPC-AG)

  • Marshfield Clinic Marshfield Center, 1000, North Oak Avenue, Marshfield, Wood County, Wisconsin, 54449, United States

    MARSHFIELD, WI 544499662

    Phone: (715) 383-3434

    Type: Mailing

  • Marshfield Clinic Wausau Center, 2727, Plaza Drive, Stewart Avenue District, Wausau, Marathon County, Wisconsin, 54401, United States

    WAUSAU, WI 544014129

    Phone: (715) 847-3000

    Type: Location

  • 2727 Plaza Dr

    Wausau, WI 544014129

    Phone: (715) 847-3000

    Type: Location

  • 1000 N OAK AVE

    MARSHFIELD, WI 544495703

    Phone: (715) 387-5511

    Type: Mailing

  • 3400 MINISTRY PKWY

    WESTON, WI 544765220

    Phone: (715) 393-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $106.

Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Abbott Laboratories ($106).

Total Amount

$106

General + Research + Ownership

Payments

2

Total payment records

General Amount

$106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$106
View all Open Payments →|Open Payments Risk Radar →

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: 2019-09-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190906000064INurse PractitionerWITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8884$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6446$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2214$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 54449)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698071173View full group profile

Reviews

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Frequently asked questions

What NPI should I save for KELLY M DERLEIN (ACNPC-AG)?
Save NPI 1154982296 if you need a stable reference for KELLY M DERLEIN (ACNPC-AG).
Is KELLY M DERLEIN (ACNPC-AG) currently active in the NPI registry?
CMS-published data lists KELLY M DERLEIN (ACNPC-AG) as an active registrant.
Does KELLY M DERLEIN (ACNPC-AG) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for KELLY M DERLEIN (ACNPC-AG). Clinical services aligned with this taxonomy classification.
Where is KELLY M DERLEIN (ACNPC-AG)'s primary listing?
We display Marshfield, Wisconsin because that is what the record indicates for KELLY M DERLEIN (ACNPC-AG).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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