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

Kelly Flack, APNP

Individual provider Registered Nurse · NPI 1720601297

Kelly Flack, APNP is a Nurse Practitioner in Oshkosh, Wisconsin. Qualified in 2020, 6 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone: (920) 033-8700
Fax: (920) 456-5901
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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 10176-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 177650-30 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10176-33 (WI)

Record details

NPI number1720601297
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorYes
NPI enumeratedMay 19, 2020
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021
Mailing address855 N Westhaven Dr, Oshkosh, WI 54904-7668

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 Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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