NYSSA SLIMACK (APNP) – Family Nurse Practitioner, NPI 1700174125

NYSSA SLIMACK (APNP) is a healthcare provider. based in Kenosha, Wisconsin. specializing in Family Nurse Practitioner. They hold the professional credentials APNP. They hold a License No. 17776530 (WI). The NPI Number for NYSSA SLIMACK (APNP) is 1700174125

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
NYSSA SLIMACK (APNP)
NPI
1700174125
Phone
(262) 764-5595
Address
7401 104TH AVE
Enumeration Date
19 July 2011
Last Update Date
4 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2627645595
Graduation Year
2015 (11 years ago)
PAC ID
5991011397
Group Practice PAC ID
3375445497
Professional Enrollment ID
I20150831002336
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for NYSSA SLIMACK (APNP)

  • 7401 104TH AVE

    SUITE 110

    KENOSHA, WI 531427845

    Phone: (262) 764-5595

    Fax: (262) 764-9314

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Enduromed, Llc ($20).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-08-31

PECOS data refreshed: 2026-06-15

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
I20150831002336INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes2323$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg1714$0
20550Injection into tendon or ligament1612$0
View full utilization report →

Insurance plans in this area (ZIP 53142)

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Provider's Procedures

NYSSA SLIMACK (APNP) performs procedures in Family Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERWI73110X-ray of wrist, minimum of 3 views2415

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: 3375445497View full group profile
NameSpecialtyState
P O D I A T R YWI
Physician AssistantWI
Nurse PractitionerWI
O B S T E T R I C S/ G Y N E C O L O G YWI
Physical Medicine And RehabilitationWI
-WI
Nurse PractitionerWI
Physical Therapist In Private PracticeWI
Nurse PractitionerWI
-WI

Reviews

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Frequently asked questions

What number should I use to identify NYSSA SLIMACK (APNP) for billing?
Administrative and clinical systems typically use NPI 1700174125 for NYSSA SLIMACK (APNP).
Is NYSSA SLIMACK (APNP) currently accepting referrals based on NPI status?
Registry metadata lists NYSSA SLIMACK (APNP) as active.
What services align with NYSSA SLIMACK (APNP)'s listing?
NYSSA SLIMACK (APNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NYSSA SLIMACK (APNP)?
NYSSA SLIMACK (APNP) is associated with Kenosha, Wisconsin in the same public data insurers reference.
Why is information missing for NYSSA SLIMACK (APNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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