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

Guadalupe Orlando Romero, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1063031045

Guadalupe Orlando Romero, NURSEPRACTITIONER is a Nurse Practitioner in Kenosha, Wisconsin. Qualified in 2019, 7 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
7
Licensed in
WI
In the registry since
2020
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Practice location Address checks out

4777 88th Ave
Kenosha, WI 53144-7439
Phone: (262) 605-5253
Fax: (262) 605-5903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 55th St, Kenosha, WI 53140-3707 — (262) 605-5439

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9774-33 (WI)

Record details

NPI number1063031045
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedApril 10, 2020
Last updated in NPPESApril 10, 2020
Certification dateApril 10, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 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

Other providers in Kenosha