Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Rose Crum, APNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1295579951

Amy Rose Crum, APNP is a Nurse Practitioner in Kenosha, Wisconsin. Qualified in 2024, 2 years ago. Practices with Kenosha Community Health Center, Inc, a 20-clinician group and works from 4 locations. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

4536 22nd Ave
Kenosha, WI 53140-5917
Phone: (262) 771-0070
Fax: (262) 885-6340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 6226 14th Ave, Kenosha, WI 53143-4413 — (262) 656-0044
  • 4006 Washington Rd, Kenosha, WI 53144-4819 — (262) 656-0044
  • 903 S 2nd St, Silver Lake, WI 53170-1747 — (262) 656-0044

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 15474-33 (WI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 15474-33 (WI)

Record details

NPI number1295579951
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJune 19, 2024
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kenosha Community Health Center, Inc. — 20 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Kenosha