Individual provider Active NPI

Kellie Elizabeth Helmer, MSN, APNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Green Lake, WI
National Provider Identifier
1043025570
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16481-33 Issued in WI
Practice address
610 South St
Green Lake, WI 54941-9496
Phone
(920) 638-3557
NPI assigned
Feb 11, 2025
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 16481-33 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 16481-33 WI Primary

Addresses

Primary practice location

610 South St
Green Lake, WI 54941-9496

Mailing address

PO Box 13
Ripon, WI 54971-0013
Phone (920) 638-3557

Other practice location 1

50 Wolverton Ave
Ripon, WI 54971-1050
Phone (920) 748-5638

Other practice location 2

1002 Eureka St
Ripon, WI 54971-1141
Phone (920) 896-0440 ext. 60440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250728000492 WI Practitioner - Nurse Practitioner 3476060245 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 S St
Green Lake, WI 54941-9496
Phone (920) 764-8292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Higher Hope Mental Health, LLC Psychiatric/Mental Health CurrentSince Jun 17, 2025 Accepting new patients
Bay Psychiatry of Wisconsin LLC Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Mental Health Specialty Group PA CurrentSince Feb 1, 2026 Accepting new patients
Active Family Chiropractic Center LLC PastSince Jun 15, 2025 Accepting new patients

Locations

2800 E Enterprise Ave
Ste 333
Appleton, WI 54913
Phone (630) 687-0455

1048 Glory Rd
Ste A
Green Bay, WI 54304
Phone (920) 238-8155

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1043025570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549710013",
            "telephone_number": "920-638-3557",
            "fax_number": "862-333-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SOUTH ST",
            "city": "GREEN LAKE",
            "state": "WI",
            "postal_code": "549419496",
            "telephone_number": "920-638-3557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Wolverton Ave",
            "address_purpose": "LOCATION",
            "city": "Ripon",
            "state": "WI",
            "postal_code": "549711050",
            "country_code": "US",
            "telephone_number": "920-748-5638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 Eureka St",
            "address_purpose": "LOCATION",
            "city": "Ripon",
            "state": "WI",
            "postal_code": "549711141",
            "country_code": "US",
            "telephone_number": "920-896-0440 x60440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELMER",
        "first_name": "KELLIE",
        "middle_name": "ELIZABETH",
        "credential": "MSN, APNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "16481-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "16481-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Lake, WI

Sources for this page

Verify at the official NPI Registry.