JENNIFER ANN KELASH (APNP) – Family Nurse Practitioner, NPI 1649796913
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for JENNIFER ANN KELASH (APNP)
3802 OAKWOOD MALL DR
EAU CLAIRE, WI 547013016
Phone: (715) 552-6589
Fax: (715) 835-6370
Type: Mailing
1200 Oakleaf Way Ste A
Altoona, WI 547202217
Phone: (715) 832-1400
Fax: (715) 832-4187
Type: Location
2321 Stout Rd
Menomonie, WI 547517003
Phone: (715) 838-5222
Type: Location
1111, East Tyler Avenue, Putnam Heights, Eau Claire, Eau Claire County, Wisconsin, 54701, United States
EAU CLAIRE, WI 547016560
Phone:
Type: Mailing
3802, Oakwood Mall Drive, Eau Claire, Eau Claire County, Wisconsin, 54701, United States
EAU CLAIRE, WI 547013016
Phone: (715) 839-9280
Type: Location
719 W HAMILTON AVE STE B
EAU CLAIRE, WI 547016970
Phone: (715) 552-6589
Fax: (715) 835-6370
Type: Mailing
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: 2017-11-02
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 |
|---|---|---|---|---|
| I20171102000281 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice, Emergency Medicine | WI | |
| Certified Nurse Midwife (Cnm) | WI | |
| - | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| P O D I A T R Y | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Internal Medicine | WI | |
| Physician Assistant | WI |
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