Michelle Kristie Beahm, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Glendale, WI
NPI 1871739995 · NPPES record last updated May 21, 2026
Key facts
- NPI
- 1871739995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 15751-33 (WI)
- Practice address
- 5555 N Port Washington Rd Ste 200
Glendale, WI 53217-4927 - Phone
- (262) 999-3495
- NPI assigned
- Dec 18, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cornerstone Counseling Services Inc
Practice addresses (Care Compare)
5555 N Port Washington Rd
Suite 200
Glendale, WI 53217-4927
Phone (262) 789-1191
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240904001118 | WI | Practitioner - Nurse Practitioner | 1658811757 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161780-030 | WI | MD | Registered Nurse |
| 15751-33 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Current |
Accepting 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
W175N11081 Stonewood Dr
Ste 103
Germantown, WI 53022
5555 N Port Washington Rd
Ste 200
Glendale, WI 53217
Phone (414) 962-6100
10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Interoperability endpoints
- lifestancehealth.michellebeahm@149809.advancedmd-direct.com
- mbeahm138131@direct.chw.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 15751-33 | WI | Yes |
| Registered Nurse | 163W00000X | 161780-030 | WI | |
| Nurse Practitioner | 363L00000X | 15751-33 | WI |
Addresses
Primary practice location
5555 N Port Washington Rd Ste 200
Glendale, WI 53217-4927
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (262) 999-3495
Other practice location 1
250 E Wisconsin Ave
Milwaukee, WI 53202-4232
Phone (888) 684-2779
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871739995 | Medicaid | WI |
Other names
- Ms. Michelle Kristie Konkel
Other providers in Glendale, WI
- Carmen S Balding
- Ramadevi Balija
- Geraldine B Banks
- Randi Lynn Bartels
- Bayshore Vision, LLC
- John C Becherer
- Darlene Collins Beck
- Bedrock HCS at Glendale LLC
- Behavioral Phyisical Therapy, Wellness & Home Care Center LLC
- Regina Lederle Behnke
All providers in Glendale, WI · Psychiatric/Mental Health Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.