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

Dipti R Jethani, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1073936811

Dipti R Jethani, PMHNP is a Nurse Practitioner in Milwaukee, Wisconsin. Graduated from University of Cincinnati College of Medicine in 2013, 13 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
13
Trained at
University of Cincinnati College of Medicine
Licensed in
WI
In the registry since
2014
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

5000 W National Ave
Milwaukee, WI 53295-1000
Phone: (414) 384-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5645-33 (WI)

Record details

NPI number1073936811
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJanuary 30, 2014
Last updated in NPPESJanuary 30, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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