Individual provider Active NPI

Elizabeth N.M. Kennedy, APNP

  • Nurse Practitioner
  • Waukesha, WI
National Provider Identifier
1942728837
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7947-33 Issued in WI
Practice address
725 American Ave
Waukesha, WI 53188-5031
Phone
(262) 928-1000
Fax
(414) 649-6282
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7947-33 WI Primary

Addresses

Primary practice location

725 American Ave
Waukesha, WI 53188-5031

Mailing address

725 American Ave
Waukesha, WI 53188-5031
Phone (262) 928-1000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171023003116 WI Practitioner - Nurse Practitioner 0648546457 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Waukesha, SC CurrentSince Feb 1, 2024 Accepting new patients
Midwest Critical Care SC CurrentSince Jan 1, 2023 Accepting new patients
Greater Milwaukee Critical Care and Pulmonary Associates SC CurrentSince Feb 17, 2022 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince Feb 1, 2023 Accepting new patients
Comprehensive Cardiovascular Care, LLP PastSince Jul 1, 2022 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

19475 W North Ave
Brookfield, WI 53045
Phone (262) 780-4000

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

3201 S 16th St
Ste 2015
Milwaukee, WI 53215
Phone (262) 240-0841

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

3803 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-3973

240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 6

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1942728837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 AMERICAN AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885031",
            "telephone_number": "262-928-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 AMERICAN AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885031",
            "telephone_number": "262-928-1000",
            "fax_number": "414-649-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ELIZABETH",
        "middle_name": "N.M.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "7947-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.