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

Kayla Himebauch

Individual provider Family Nurse Practitioner · NPI 1154014587

Kayla Himebauch is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2022, 4 years ago. Practices with Mid-South Home Care Services LLC, a 101-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2023
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Practice location Address checks out

10200 W Innovation Dr Ste 400
Milwaukee, WI 53226-4826
Phone: (414) 944-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2023003353 (WI)

Record details

NPI number1154014587
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2023
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 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 Mid-South Home Care Services Llc — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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