Active NPI
Priscilla Kennedy
- Emergency Medicine Physician
- Fitchburg, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 82375-20
- Practice address
- 5550 Caddis BND
Fitchburg, WI 53711-7140 - Phone
- (262) 352-6723
- NPI assigned
- Aug 1, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 82375-20 | WI | Primary |
Addresses
Primary practice location
5550 Caddis BND
Fitchburg, WI 53711-7140
Mailing address
5550 Caddis BND Apt 111
Fitchburg, WI 53711-7141
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 N Mayfair Rd
Wauwatosa, WI 53226-4216
Phone (414) 259-7200
2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 291-1000
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011
3807 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8173
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Wisconsin Emergency Associates SC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Specialists, S.C. | Emergency Medicine | Current | Accepting new patients |
Locations
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
10625 W North Ave
Ste 101
Wauwatosa, WI 53226
Phone (414) 858-2200
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Milwaukee, WI
- NPI 1568413524
-
- Emergency Medicine Physician
- Beloit, WI
- NPI 1568538189
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1225087190
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1538779954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5550 CADDIS BND APT 111",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537117141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 CADDIS BND",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537117140",
"telephone_number": "262-352-6723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "PRISCILLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-01",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "82375-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.