Active NPI
Tristah R Romero-Kelly, APNP
- Nurse Practitioner
- Racine, WI
National Provider Identifier
1235514126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6392-33
- Practice address
- 3005 Rapids Dr
Racine, WI 53404-1624 - Phone
- (414) 310-6541
- Fax
- (414) 310-6541
- NPI assigned
- Jul 21, 2015
- Last updated
- Aug 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 6392-33 | WI | Primary |
Addresses
Primary practice location
3005 Rapids Dr
Racine, WI 53404-1624
Mailing address
3005 Rapids Dr
Racine, WI 53404-1624
Phone (414) 310-6541
Other practice location 1
501 N Il Route 21 Ste 105-7
Gurnee, IL 60031-5927
Phone (847) 393-0235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235514126 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- tromerokelly28732@direct.myadvocateaurora.org
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1235514126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 RAPIDS DR",
"city": "RACINE",
"state": "WI",
"postal_code": "534041624",
"telephone_number": "414-310-6541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 RAPIDS DR",
"city": "RACINE",
"state": "WI",
"postal_code": "534041624",
"telephone_number": "414-310-6541",
"fax_number": "414-310-6541"
}
],
"practiceLocations": [
{
"address_1": "501 N Il Route 21 Ste 105-7",
"address_purpose": "LOCATION",
"city": "Gurnee",
"state": "IL",
"postal_code": "600315927",
"country_code": "US",
"telephone_number": "847-393-0235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMERO-KELLY",
"first_name": "TRISTAH",
"middle_name": "R",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "6392-33",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235514126",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.