MRS. KIM MARIE WILLISON (APNP) – Adult Health Nurse Practitioner, NPI 1225080955
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
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Provider Addresses for MRS. KIM MARIE WILLISON (APNP)
Orthopedic & Sports Institute of the Fox Valley, 2105, East Enterprise Avenue, Appleton, Outagamie County, Wisconsin, 54913, United States
STE 111
APPLETON, WI 54913
Phone: (920) 731-6611
Fax: (920) 731-6732
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: 2005-09-01
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 |
|---|---|---|---|---|
| I20050901000372 | 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 | 19 | 16 | $0 |
| 73502 | X-ray of hip, 2-3 views | 12 | 11 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 54913)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | WI | 73562 | X-ray of knee, 3 views | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| Orthopedic Surgery | WI | |
| Certified Clinical Nurse Specialist (Cns) | WI | |
| Orthopedic Surgery | IL | |
| Orthopedic Surgery, Sports Medicine | WI | |
| Orthopedic Surgery, Sports Medicine | WI | |
| Physician Assistant | WI | |
| Orthopedic Surgery, Hand Surgery | WI | |
| Nurse Practitioner | WI | |
| Orthopedic Surgery | WI |
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