Kellie Greenwood
NPI 1962036830ActiveIndividual· Nurse Practitioner· De Pere, WI
Nurse Practitioner in De Pere, Wisconsin, licensed in WI, with an NPI issued in February 2020. In 2024 Medicare paid $5,923 for 84 patients, and Part D covered 189 of their prescriptions, 87% of them generic.
Overview
| NPI | 1962036830 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 28, 2020 |
| Last updated in NPPES | Aug 28, 2026 |
| Certified by provider | Aug 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 10270 | WI |
| Nurse Practitioner, Family | 363LF0000X | 10270-33 | WI |
| Registered Nurse | 163W00000X | 229334-30 | 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 | 84 |
|---|---|
| Services billed | 115 across 16 procedure codes |
| Paid by Medicare | $5,923 |
Part D prescriptions in 2024
| Prescriptions (claims) | 189 · 189 30-day fills |
|---|---|
| Patients | 148 |
| Total drug cost | $6,971 |
| Generic share | 87% of claims |
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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