Active NPI
Kimberly Jean Berndt, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Sun Prairie, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 8912-33
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 174079-030 | WI | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 174079-030 | WI | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 8912-33 | WI | |
| Nurse Practitioner | 363L00000X | 174079-30 | WI | |
| Psychiatric/Mental Health Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100083956 | Medicaid | WI | |
| 100083911 | Medicaid | WI | |
| 100126024 | Medicaid | WI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174079-030 | WI | MD | Registered Nurse |
| 8912-33 | WI | MD | Psychiatric/Mental Health Registered Nurse |
| 8912 | MN | MD | Speech-Language Pathologist |
| 174079-30 | WI | MD | Nurse Practitioner |
| 172631 | MT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Services Group, Inc. | Multi-Specialty | Current | Accepting new patients |
| Ace Mentality LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Kimberly Berndt, Pmhnp-BC LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Wilson, Leigh & Associates LLC | Multi-Specialty | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kenosha, WI
- NPI 1619024262
Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Sun Prairie, WI
- NPI 1598630295
-
- Psychiatric/Mental Health Nurse Practitioner
- Madison, WI
- NPI 1194339424
-
- Psychiatric/Mental Health Nurse Practitioner
- Oro Valley, AZ
- NPI 1811512387
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.