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Janice Kathryn Hamachek Kellner

Specialist/Technologist - Athletic Trainer β€’ Beaver Dam, WI

Active NPI 1609269752 Individual Practitioner Female Practitioner
Practice location in NPPES

707 S University Ave
Beaver Dam, WI 539163027

Call 9202194009 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

707 S University Ave

Beaver Dam, WI 539163027

Telephone 9202194009
Organization at the Same NPPES Address or Phone
Beaver Dam Emergency Medicine S.c. Facility NPI 1780675116

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Deforest, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2015

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

Compared with the same specialty in Beaver Dam and Wisconsin

7 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Beaver Dam, WI (1,231 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

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: 2023-10-12
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES WI 2030-39

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

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

Secondary Practice Locations

405 Maple St

Deforest, WI 535321422

Phone: 9209014382

Clinicians Sharing This Practice Address or Phone

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

3 listed
Jami Burg , PA

Physician Assistant - Medical

NPI 1427506096

Physician Assistant

NPI 1467009233

Doctor of Podiatric Medicine

Dr. Robert Seipel , MD

Orthopaedic Surgery

NPI 1578544029

Doctor of Medicine (M.D.)

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 October 31, 2022

Registered at 707 S UNIVERSITY AVE, BEAVER DAM, WI 539163027 (Tel: 9202194009)

πŸ“
Updated Business Mailing Address October 31, 2022

Registered at 707 S UNIVERSITY AVE, BEAVER DAM, WI 539163027 (Tel: 9202194009)

πŸ‘€
Provider Name / Credentials Updated October 31, 2022

Recorded as JANICE KELLNER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2022

Specialist/Technologist (license number reported to NPPES: WI 2030-39)

βœ…
NPI Profile Active March 13, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 13, 2015

Registered at 1139 S 17TH ST, MANITOWOC, WI 542205023 (Tel: 9209014382)

πŸ“
Business Mailing Address (Initial Record) March 13, 2015

Registered at 1139 S 17TH ST, MANITOWOC, WI 542205023 (Tel: 9209014382)

πŸ‘€
Provider Name / Credentials (Initial Record) March 13, 2015

Recorded as JANICE HAMACHEK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2015

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration March 13, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609269752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2015
Last Update: October 12, 2023
Sole Proprietor: Yes

Mailing Address

707 S University Ave

Beaver Dam, WI 539163027

Phone: 9202194009

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.