Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelli M Notaro, DNPAGPCNP-BC

Individual provider Nurse Practitioner · NPI 1790383321

Kelli M Notaro, DNPAGPCNP-BC is a Nurse Practitioner in Madison, Wisconsin. Qualified in 2020, 6 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
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Practice location Address checks out

4602 Eastpark Blvd
Madison, WI 53718-2002
Phone: (608) 265-3207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10438-33 (WI)

Record details

NPI number1790383321
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNPAGPCNP-BC
Sole proprietorNo
NPI enumeratedOctober 15, 2020
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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