KEIGHLA L SLATTERY (APNP) – Critical Care Medicine Nurse Practitioner, NPI 1174182885

KEIGHLA L SLATTERY (APNP) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials APNP. They hold a License No. 223134-30 (WI). The NPI Number for KEIGHLA L SLATTERY (APNP) is 1174182885

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KEIGHLA L SLATTERY (APNP)
NPI
1174182885
Phone
(414) 805-3310
Address
9200 W WISCONSIN AVE
Enumeration Date
7 June 2019
Last Update Date
7 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4148053666
Graduation Year
2019 (7 years ago)
PAC ID
6002147972
Group Practice PAC ID
2668384371
Professional Enrollment ID
I20191007002679
Address ID
WI532263548MI8701XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

6,035 NURSE PRACTITIONER in WI

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Provider Addresses for KEIGHLA L SLATTERY (APNP)

  • Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States

    MILWAUKEE, WI 532263522

    Phone: (414) 805-3310

    Fax: (414) 805-3885

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-10-07

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
I20191007002679INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53226)

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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: 2668384371View full group profile

Reviews

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Frequently asked questions

Is there an official ID for KEIGHLA L SLATTERY (APNP) in U.S. healthcare records?
The official identifier for KEIGHLA L SLATTERY (APNP) is NPI 1174182885.
Is there an active status for KEIGHLA L SLATTERY (APNP)?
For scheduling context, KEIGHLA L SLATTERY (APNP) is shown as active in the registry.
What kind of doctor is KEIGHLA L SLATTERY (APNP)?
KEIGHLA L SLATTERY (APNP) is associated with Critical Care Medicine Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KEIGHLA L SLATTERY (APNP)?
Travel planning: use Milwaukee, Wisconsin as the reference point for KEIGHLA L SLATTERY (APNP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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