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

Dr. Kimberly K Walker-Daniels, DNP-PMHNP

Individual provider Nurse Practitioner · NPI 1326442070

Dr. Kimberly K Walker-Daniels, DNP-PMHNP is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2014, 12 years ago. Practices with Cleanslate Medical Group of Wisconsin SC, a 28-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2014
Specialties on file
2

Practice location Address checks out

480 Pilgrim Way # 1300-A
Green Bay, WI 54304-5280
Phone: (920) 610-5119
Fax: (920) 610-5120
Show map & directions

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

Additional practice locations (1)

  • N5797 Oriole Rd, Wittenberg, WI 54499-8106 — (608) 692-5077

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 6060-33 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 6060-33 (WI)

Record details

NPI number1326442070
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP-PMHNP
Sole proprietorNo
NPI enumeratedOctober 9, 2014
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cleanslate Medical Group Of Wisconsin Sc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Green Bay