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Kimberly M Dahlke , NP

Nurse Practitioner β€’ Manitowoc, WI

Active NPI 1912420852 Individual Practitioner Female Practitioner
Practice location in NPPES

3509 Dewey St
Manitowoc, WI 54220

Call 9206865732 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

3509 Dewey St

Manitowoc, WI 54220

Telephone 9206865732
Fax 9206865726
Organization at the Same NPPES Address or Phone
Baycare Aurora, Llc Facility NPI 1114406212

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

2017

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)

Kimberly Dahlke 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 Kimberly Dahlke 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 Manitowoc and Wisconsin

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Manitowoc

11.8% of these 34 clinicians have the CMS telehealth indicator.

70.6% of these 34 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: 2023-11-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES WI 7834

(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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100069998 (WI)

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

I20170824001957

Enrollment State Jurisdiction

WI

PECOS Control ID

0648542746

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.

6 listed
Sarah Bouc , NP-C

Nurse Practitioner

NPI 1619302239

Nurse Practitioner (Certified)

Kaylee Hawks , FNP-C

Nurse Practitioner

NPI 1003520255

Family Nurse Practitioner (Certified)

Dr. Jamie Heiman , DC

Nurse Practitioner

NPI 1083786859

Doctor of Chiropractic

Brian Konowalchuk

Preventive Medicine - Occupational Medicine

NPI 1104939453
NPI 1326155532

Doctor of Medicine (M.D.)

Arielle Tenor , NP

Nurse Practitioner

NPI 1922770858

Nurse Practitioner

Career & Practice History Timeline

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

14 Historical Events
πŸ‘€
Provider Name / Credentials Updated December 08, 2022

Recorded as KIMBERLY DAHLKE, NP

πŸ“
Updated Practice Location August 06, 2018

Registered at 3509 DEWEY ST, MANITOWOC, WI 54220 (Tel: 9206865732)

πŸ“
Updated Business Mailing Address August 06, 2018

Registered at 3509 DEWEY ST, MANITOWOC, WI 54220 (Tel: 9206865732)

βœ…
NPI Profile Active January 19, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address January 19, 2018

Registered at 5300 MEMORIAL DR, TWO RIVERS, WI 542413923 (Tel: 9207937300)

πŸ“
Updated Practice Location January 19, 2018

Registered at 4100 DEWEY ST, MANITOWOC, WI 542205497 (Tel: (920) 686-5700)

πŸ‘€
Provider Name / Credentials Updated January 19, 2018

Recorded as KIMBERLY HENNINGS, NP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2018

Nurse Practitioner (license number reported to NPPES: WI 7834)

βœ…
NPI Profile Active August 09, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 09, 2017

Registered at 4100 DEWEY ST, MANITOWOC, WI 542205497 (Tel: (920) 686-5700)

πŸ“
Business Mailing Address (Initial Record) August 09, 2017

Registered at 4100 DEWEY ST, MANITOWOC, WI 542205497 (Tel: 9206865700)

πŸ‘€
Provider Name / Credentials (Initial Record) August 09, 2017

Recorded as KIMBERLY HENNINGS, NP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2017

Nurse Practitioner (license number reported to NPPES: WI 7834)

🟒
Initial NPI Registration & Enumeration July 24, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912420852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2017
Last Update: November 07, 2023
Sole Proprietor: No

Other Nurse Practitioners in Manitowoc

All Nurse Practitioners in Manitowoc

Mailing Address

3509 Dewey St

Manitowoc, WI 54220

Phone: 9206865732

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.