Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carolyn Penegor, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1386918043

Carolyn Penegor, FNP-BC is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2011, 15 years ago. Practices with 16th Street Community Health Center Inc, a 84-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2012
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Phone: (414) 672-1353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3727 W Wisconsin Ave, Milwaukee, WI 53208-3182 — (414) 291-2626

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4784-33 (WI)

Record details

NPI number1386918043
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 28, 2012
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice 16th Street Community Health Center Inc. — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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