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

Jeremy L Kaup, PMHNP

Individual provider Nurse Practitioner · NPI 1649970773

Jeremy L Kaup, PMHNP is a Nurse Practitioner in Sturtevant, Wisconsin. Qualified in 2022, 4 years ago. Practices with Professional Services Group Inc, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2023
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

3224 Kennsington Square Rd
Sturtevant, WI 53177-2821
Phone: (262) 762-9284
Fax: (262) 419-3818
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 13690-33 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 13690-33 (WI)

Record details

NPI number1649970773
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedMarch 7, 2023
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Professional Services Group Inc. — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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