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

Mrs. Kelly Marie Bublitz, APNP

Individual provider Nurse Practitioner · NPI 1053136481

Mrs. Kelly Marie Bublitz, APNP is a Nurse Practitioner in Mequon, Wisconsin. Qualified in 2024, 2 years ago. Practices with Madison Medical Affiliates Inc, a 86-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2024

Practice location Address checks out

13133 N Port Washington Rd Ste 204
Mequon, WI 53097-2420
Phone: (262) 243-2524
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2350 N Lake Dr Ste 306, Milwaukee, WI 53211-4528 — (414) 298-7106

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 16214-33 (WI)

Record details

NPI number1053136481
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedNovember 20, 2024
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Madison Medical Affiliates Inc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mequon