Individual provider Active NPI

Kimberly Jean Berndt, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sun Prairie, WI
National Provider Identifier
1083923049
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8912-33 Issued in WI
Practice address
131 Walmar Dr
Sun Prairie, WI 53590-1726
Phone
(262) 305-6935
Fax
(406) 558-2834
NPI assigned
Sep 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 174079-030 WI
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X 174079-030 WI
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X 8912-33 WI
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 174079-30 WI
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 172631 MT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8912-33 WI Primary

Addresses

Primary practice location

131 Walmar Dr
Sun Prairie, WI 53590-1726

Mailing address

131 Walmar Dr
Sun Prairie, WI 53590-1726
Phone (262) 305-6935

Other practice location 1

5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566
Phone (262) 305-6935

Other practice location 2

2810 Crossroads Dr Ste 4000
Madison, WI 53718-8014
Phone (855) 300-9893

Other identifiers 3

IdentifierTypeStateIssuer
100083956MedicaidWI
100083911MedicaidWI
100126024MedicaidWI

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
I20190219002868 WI Practitioner - Nurse Practitioner 6901144880 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
174079-030WIMDRegistered Nurse
8912-33WIMDPsychiatric/Mental Health Registered Nurse
8912MNMDSpeech-Language Pathologist
174079-30WIMDNurse Practitioner
172631MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services Group, Inc. Multi-Specialty CurrentSince Dec 29, 2018 Accepting new patients
Ace Mentality LLC Psychiatric/Mental Health CurrentSince Feb 2, 2021 Accepting new patients
Kimberly Berndt, Pmhnp-BC LLC Psychiatric/Mental Health CurrentSince Oct 12, 2025 Accepting new patients
Wilson, Leigh & Associates LLC Multi-Specialty PastSince Jun 16, 2024 Accepting new patients

Locations

6233 39th Ave
Kenosha, WI 53142
Phone (262) 654-1004

2810 Crossroads Dr
Ste 4000
Madison, WI 53718
Phone (608) 747-7878

1205 S 70th St
Ste 301
West Allis, WI 53214
Phone (414) 475-2788

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1083923049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WALMAR DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901726",
            "telephone_number": "262-305-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WALMAR DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901726",
            "telephone_number": "262-305-6935",
            "fax_number": "406-558-2834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 W Mendenhall St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597153566",
            "country_code": "US",
            "telephone_number": "262-305-6935",
            "fax_number": "855-300-9893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2810 Crossroads Dr Ste 4000",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537188014",
            "country_code": "US",
            "telephone_number": "855-300-9893",
            "fax_number": "855-300-9893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNDT",
        "first_name": "KIMBERLY",
        "middle_name": "JEAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "174079-030",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WI",
            "license": "174079-030",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WI",
            "license": "8912-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "174079-30",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "172631",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "8912-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100083956",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100083911",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126024",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

Verify at the official NPI Registry.