Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer R Renner-Kevkhishvili, APNP

Individual provider Family Nurse Practitioner · NPI 1952035453

Jennifer R Renner-Kevkhishvili, APNP is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2021, 5 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2022
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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 955-0231
Fax: (414) 805-6808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 N 92nd St, Milwaukee, WI 53226-1202 — (414) 805-2500

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12163 (WI)

Record details

NPI number1952035453
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJuly 12, 2022
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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