Active NPI
Annette Bale, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 16340-33
- Practice address
- 6525 Green Bay Rd Ste 2
Kenosha, WI 53142-2967 - Phone
- (262) 999-3495
- Fax
- (262) 821-6180
- NPI assigned
- Dec 9, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 16340-33 | WI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 16340-33 | WI | Primary |
| Registered Nurse | 163W00000X | 121496-30 | WI | |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 041.273400 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209024477 | IL |
Addresses
Primary practice location
6525 Green Bay Rd Ste 2
Kenosha, WI 53142-2967
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (262) 999-3495
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250509002351 | WI | Practitioner - Nurse Practitioner | 0941693634 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121496-30 | WI | MD | Registered Nurse |
| 041.273400 | IL | MD | Addiction (Substance Use Disorder) Registered Nurse |
| 16340-33 | WI | MD | Nurse Practitioner |
| 209024477 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
6525 Green Bay Rd
Ste 2
Kenosha, WI 53142
Phone (262) 492-5276
10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100
Interoperability endpoints
- lifestancehealth.annettebale@149809.advancedmd-direct.com
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1639775281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630",
"telephone_number": "262-999-3495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6525 GREEN BAY RD STE 2",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531422967",
"telephone_number": "262-999-3495",
"fax_number": "262-821-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALE",
"first_name": "ANNETTE",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-09",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "16340-33",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "16340-33",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "121496-30",
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "041.273400",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209024477",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.