KRISTINE BRAKER (NP) – Family Nurse Practitioner, NPI 1679633580

KRISTINE BRAKER (NP) is a healthcare provider. based in Marshall, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2985-033 (WI). The NPI Number for KRISTINE BRAKER (NP) is 1679633580

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE BRAKER (NP)
NPI
1679633580
Phone
(608) 655-8181
Address
301 W Main St
Enumeration Date
11 December 2006
Last Update Date
31 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6086558181
Graduation Year
2006 (20 years ago)
PAC ID
3173525664
Group Practice PAC ID
6800791484
Professional Enrollment ID
I20070213000449
Address ID
WI535599129MA301XXSTXX400

Contacts

Secure Messaging
KBRAKER258848@DIRECT-EHR-SSMHC.COM
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

6,033 NURSE PRACTITIONER in WI

Provider Addresses for KRISTINE BRAKER (NP)

  • 301 W Main St

    Marshall, WI 535599129

    Phone: (608) 655-8181

    Type: Location

  • 134 CORPORATE DR

    BEAVER DAM, WI 539163116

    Phone: (920) 356-1000

    Type: Location

  • Columbus Community Hospital, 1515, Park Avenue, Columbus, Town of Columbus, Columbia County, Wisconsin, 53925, United States

    COLUMBUS, WI 539251618

    Phone: (920) 623-2200

    Type: Mailing

  • 118, West Maple Avenue, Downtown Beaver Dam, Beaver Dam, Dodge County, Wisconsin, 53916, United States

    BEAVER DAM, WI 539162104

    Phone: (920) 356-1000

    Type: Location

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: 2007-02-13

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
I20070213000449INurse 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
36415Insertion of needle into vein for collection of blood sample7544$0
99214Established patient office or other outpatient visit, 30-39 minutes6642$0
99213Established patient office or other outpatient visit, 20-29 minutes5345$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3434$0
G0008Administration of influenza virus vaccine1515$0
View full utilization report →

Insurance plans in this area (ZIP 53559)

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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: 6800791484View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)WI
Physical Therapist In Private PracticeMN
Family PracticeWI
Nurse PractitionerWI
Physician AssistantWI
Occupational Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI
D E R M A T O L O G YWI
P S Y C H I A T R YWI
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

How do payers reference KRISTINE BRAKER (NP)?
For KRISTINE BRAKER (NP), use NPI 1679633580 as the unique 10-digit identifier.
Active or inactive — what applies to KRISTINE BRAKER (NP)?
You should see KRISTINE BRAKER (NP) as active in CMS-hosted NPPES data.
What area of care is associated with KRISTINE BRAKER (NP)?
KRISTINE BRAKER (NP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KRISTINE BRAKER (NP) located near Marshall?
KRISTINE BRAKER (NP) currently maps to Marshall, Wisconsin in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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