KELLE JOELL TOMATZ (FNP-BC) – Family Nurse Practitioner, NPI 1972912764
Family Nurse Practitioner
Main info
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Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for KELLE JOELL TOMATZ (FNP-BC)
10625 W North Avenue Suite 102
Emergency Medicine Specialists, S.C.
Wauwatosa, WI 532660000
Phone: (414) 877-5345
Type: Location
1317 HILLWOOD BLVD
UNIT C
PEWAUKEE, WI 530726902
Phone:
Type: Mailing
10625 W NORTH AVENUE SUITE 102
EMERGENCY MEDICINE SPECIALISTS, S.C.
WAUWATOSA, WI 532660000
Phone: (414) 877-5345
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
6609 W GREENFIELD AVE
WEST ALLIS, WI 532144958
Phone: (414) 257-8577
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: 2014-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (924 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20141106000319 | I | Nurse Practitioner | WI | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 43 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 53266)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | IL | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| - | IL | |
| Family Practice | WI | |
| - | OH | |
| - | WI |
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