JEREMY L KAUP (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1649970773
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for JEREMY L KAUP (PMHNP)
212 4TH ST
RACINE, WI 534031005
Phone: (262) 206-0412
Fax: (262) 419-3818
Type: Mailing
3224 KENNSINGTON SQUARE RD
STURTEVANT, WI 531772821
Phone: (262) 762-9284
Fax: (262) 419-3818
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $502.
Total Amount is formed as General ($502) + Research ($0) + Ownership ($0) = $502.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: ABBVIE INC. ($272).
Total Amount
$502
General + Research + Ownership
Payments
5
Total payment records
General Amount
$502
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $272 |
| Janssen Pharmaceuticals, Inc | $119 |
| Teva Pharmaceuticals USA, Inc. | $112 |
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: 2023-05-02
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 |
|---|---|---|---|---|
| I20230502002758 | 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 53403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | WI | |
| Mental Health Counselor | WI | |
| - | WI | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI | |
| Clinical Social Worker | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| Nurse Practitioner | WA |
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