Individual provider Active NPI

Gail Ann Krummen-Lee, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waupun, WI
National Provider Identifier
1114871720
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
18325-33 Issued in WI
Practice address
W9156 Lake Emily Rd
Waupun, WI 53963-9605
Phone
(608) 513-6274
NPI assigned
Feb 23, 2026
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18235 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18325-33 WI Primary

Addresses

Primary practice location

W9156 Lake Emily Rd
Waupun, WI 53963-9605

Mailing address

W9156 Lake Emily Rd
Waupun, WI 53963-9605
Phone (608) 513-6274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3330 Skokie Valley Rd
Suite 200
Highland Park, IL 60035-1041

W9156 Lake Emily Rd
Waupun, WI 53963-9605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18235WIMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1114871720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W9156 LAKE EMILY RD",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539639605",
            "telephone_number": "608-513-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W9156 LAKE EMILY RD",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539639605",
            "telephone_number": "608-513-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMMEN-LEE",
        "first_name": "GAIL",
        "middle_name": "ANN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "18235",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "18325-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waupun, WI

Sources for this page

Verify at the official NPI Registry.