Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kayla Nicole Bodart, NP

Individual provider Nurse Practitioner · NPI 1104500396

Kayla Nicole Bodart, NP is a Nurse Practitioner in Appleton, Wisconsin. Qualified in 2022, 4 years ago. Practices with Fox Valley Surgical Associates Ltd, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2000 E Milestone Dr
Appleton, WI 54913-6701
Phone: (920) 731-8131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2845 Greenbrier Rd, Green Bay, WI 54311-6519 — (920) 288-8280

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 13872 (WI)

Record details

NPI number1104500396
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 9, 2023
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fox Valley Surgical Associates Ltd — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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