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STEPHANIE KELLY DREW CRNP NPI 1235408691


NPI Information

NPI: 1235408691
Provider Name: STEPHANIE KELLY DREW, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1000 GATEWAY CT STE 100
WEST BEND, WI
ZIP 53095
Phone: (920) 204-6758
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Stephanie Kelly Drew, CRNP is a family nurse practitioner in West Bend, WI with 23 years of experience. Stephanie Kelly Drew, CRNP NPI is 1235408691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:2001

The provider's business location address is:

1000 GATEWAY CT STE 100
WEST BEND, WI
ZIP 53095-541
Phone: (920) 204-6758
Fax: (888) 720-0495

The NPI 1235408691 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Testing for presence of drug (HCPCS:80307)

The enumeration date for this NPI number is 12/14/2011 and was last updated on 7/28/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseRN585810PENNSYLVANIANo
2163W00000XRegistered NurseR212599-6MINNESOTANo
3363LF0000XNurse PractitionerFamilySP011850PENNSYLVANIANo
4363LF0000XNurse PractitionerFamilyR212599-6MINNESOTANo
5363LF0000XNurse PractitionerFamily12021-33WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.