McKenna Romanelli

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

16449-33 Issued in WI

Practice address

850 Geneva Pkwy N Ste 100
Lake Geneva, WI 53147-4562

Phone

(262) 299-6199

Fax

(262) 293-6953

NPI assigned

Mar 10, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Midwest Sports and Interventional Spine SC

  • Interventional Pain Medicine Physician
  • Lake Geneva, WI
  • NPI 1740154947
  NPD
• Midwest Sports and Interventional Spine SC

  • Interventional Pain Medicine Physician
  • Kenosha, WI
  • NPI 1831770510
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1881493070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 GREEN BAY RD STE 163",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 GENEVA PKWY N STE 100",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474562",
            "telephone_number": "262-299-6199",
            "fax_number": "262-293-6953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4824 Green Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531441789",
            "country_code": "US",
            "telephone_number": "262-299-6199",
            "fax_number": "262-293-6953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMANELLI",
        "first_name": "MCKENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "16449-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Robers
• Malissa Roberts, OTR/L
• Lynda Kay Robinson, O.T.R.
• Sabra N Robinson, NP
• Emily Jean Roe, NP
• Laurie Ann Romanowski, OTR/L
• Ryan P Romeo, ATC
• Laura M Rosol, MD
• Coty Ruffalo
• Annmarie G Klyzub Ruggiero, CD,CLA

• Nurse Practitioner in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.