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

Kaylan Moran Fenton, ANP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1629210208

Kaylan Moran Fenton, ANP-BC is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2008, 18 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
18
Licensed in
WI
In the registry since
2009
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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-8710
Fax: (414) 805-1101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 6699-33 (WI)

Record details

NPI number1629210208
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-BC
Sole proprietorNo
NPI enumeratedMarch 30, 2009
Last updated in NPPESJuly 14, 2022
Certification dateJuly 14, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 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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