Kelly Flack, APNP
NPI 1720601297ActiveIndividual· Nurse Practitioner· Oshkosh, WI
Nurse Practitioner (APNP) with Bellin Memorial Hospital Inc, practicing in Oshkosh, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $13,238 for 351 claims, against $5,452 paid for services in 2024. Lists Bellin Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1720601297 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APNP |
| Sole proprietor | Yes |
| NPI issued | May 19, 2020 |
| Last updated in NPPES | Nov 18, 2021 |
| Certified by provider | Nov 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 10176-33 | WI |
| Registered Nurse | 163W00000X | 177650-30 | WI |
| Nurse Practitioner, Family | 363LF0000X | 10176-33 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 84 across 32 procedure codes |
| Paid by Medicare | $5,452 |
Part D prescriptions in 2024
| Prescriptions (claims) | 351 · 437 30-day fills |
|---|---|
| Patients | 98 |
| Total drug cost | $13,238 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Bellin Memorial Hospital IncGreen Bay, WI · 697 clinicians
Hospital affiliation
- Bellin Memorial HospitalGreen Bay, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 94 nurse practitioners in Oshkosh · All nurse practitioners in Wisconsin