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Kalyn Mahoney , CPNP-AC

Nurse Practitioner β€’ Appleton, WI

Active NPI 1043654080 Individual Practitioner Female Practitioner
Practice location in NPPES

2575 E Evergreen Dr
Appleton, WI 549138910

Call 9209695353 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2575 E Evergreen Dr

Appleton, WI 549138910

Telephone 9209695353
Organization at the Same NPPES Address or Phone
Children's Hospital Of Wisconsin Facility NPI 1700125481

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kalyn Mahoney has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kalyn Mahoney as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Appleton and Wisconsin

155 active clinicians are listed under Nurse Practitioner with a practice address in Appleton, WI (3,995 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

6.5% of these 155 clinicians have the CMS telehealth indicator.

60.6% of these 155 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-16
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES WI 17820-33

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20191114001152

Enrollment State Jurisdiction

IL

PECOS Control ID

3072945955

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Matthew Armstrong , APNP

Nurse Practitioner

NPI 1326121898

Advanced Practice Nurse Prescriber

NPI 1700484003

Doctor of Optometry

Andrea Hilgenberg , NP

Nurse Practitioner - Pediatrics

NPI 1255501987

Nurse Practitioner

Angela Johnson , APNP

Nurse Practitioner

NPI 1881149441

Advanced Practice Nurse Prescriber

Blake Schanen , PA-C

Physician Assistant

NPI 1033980107

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location February 16, 2026

Registered at 2575 E EVERGREEN DR, APPLETON, WI 549138910 (Tel: 9209695353)

πŸ“
Updated Business Mailing Address February 16, 2026

Registered at 2575 E EVERGREEN DR, APPLETON, WI 549138910

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2026

Nurse Practitioner (license number reported to NPPES: WI 17820-33)

πŸ‘€
Provider Name / Credentials Updated December 27, 2019

Recorded as KALYN MAHONEY, CPNP-AC

βœ…
NPI Profile Active April 22, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 22, 2013

Registered at 225 E CHICAGO AVE, BOX 246, CHICAGO, IL 606112991 (Tel: 3122276150)

πŸ“
Business Mailing Address (Initial Record) April 22, 2013

Registered at 225 E CHICAGO AVE, BOX 246, CHICAGO, IL 606112991

πŸ‘€
Provider Name / Credentials (Initial Record) April 22, 2013

Recorded as KALYN WEISKE, CPNP-AC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2013

Nurse Practitioner (license number reported to NPPES: IL 209010118)

🟒
Initial NPI Registration & Enumeration April 22, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043654080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2013
Last Update: February 16, 2026
Sole Proprietor: Yes

Other Nurse Practitioners in Appleton

All Nurse Practitioners in Appleton

Mailing Address

2575 E Evergreen Dr

Appleton, WI 549138910

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.