Individual provider Active NPI

Christina C Keppel, MD

  • Psychiatry Physician
  • Mequon, WI
National Provider Identifier
1811936701
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
23798-020 Issued in WI
Practice address
1017 W Glen Oaks LN
Suite 201
Mequon, WI 53092-3371
Phone
(262) 241-3698
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 23798-020 WI Primary

Addresses

Primary practice location

1017 W Glen Oaks LN
Suite 201
Mequon, WI 53092-3371

Mailing address

1017 W Glen Oaks LN
Suite 201
Mequon, WI 53092-3371
Phone (262) 241-3698

Other identifiers 1

IdentifierTypeStateIssuer
30415700MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000180 WI Practitioner - Psychiatry 1951360262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loyola University of Chicago, Stritch School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mequon Clinical Associates SCGroup PAC ID 5092876524, 11 clinicians

Practice addresses (Care Compare)

1045 W Glen Oaks LN
Suite 1
Mequon, WI 53092-3477
Phone (262) 241-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23798-020WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mequon Clinical Associates, SC Psychiatry CurrentSince Nov 1, 2016 Accepting new patients

Locations

1045 W Glen Oaks Ln
Ste 1
Mequon, WI 53092
Phone (262) 241-7778

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811936701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W GLEN OAKS LN",
            "address_2": "SUITE 201",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923371",
            "telephone_number": "262-241-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 W GLEN OAKS LN",
            "address_2": "SUITE 201",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923371",
            "telephone_number": "262-241-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPPEL",
        "first_name": "CHRISTINA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "23798-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30415700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

Verify at the official NPI Registry.