DR. KRISTEN ANN KLEMENT TASSONE (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1912149170
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
125 PLASTIC AND RECONSTRUCTIVE SURGERY in WI
Provider Addresses for DR. KRISTEN ANN KLEMENT TASSONE (M.D.)
1155 N MAYFAIR RD
WAUWATOSA, WI 532263462
Phone: (414) 955-4263
Fax: (414) 955-6286
Type: Mailing
4805 S Moorland Rd
New Berlin, WI 531517401
Phone: (262) 798-7200
Fax: (262) 798-7201
Type: Location
3195 Hillside Dr
Delafield, WI 530182189
Phone: (262) 646-9950
Fax: (262) 646-9951
Type: Location
9000 W Wisconsin Ave
Milwaukee, WI 532264874
Phone: (414) 266-6430
Fax: (414) 266-3315
Type: Location
Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
PLASTIC SURGERY
MILWAUKEE, WI 532263522
Phone: (414) 805-3666
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: 2016-08-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160808001855 | I | Plastic And Reconstructive Surgery | 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 53226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Physician Assistant | WI | |
| Internal Medicine | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI |
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