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

Kelly A Kristbaum, NP

Individual provider Acute Care Nurse Practitioner · NPI 1215271994

Kelly A Kristbaum, NP is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2012, 14 years ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2901 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3677
Phone: (414) 649-3750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5165 (WI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 154594 (WI)

Record details

NPI number1215271994
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 19, 2012
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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