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

Kelly Theodore, PMHNP, FNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1821472226

Kelly Theodore, PMHNP, FNP is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2018, 8 years ago. Practices with Cornerstone Counseling Services Inc, a 328-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2015
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.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

111 E Wisconsin Ave Ste 1500
Milwaukee, WI 53202-4808
Phone: (262) 999-3495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 6467 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 6467 (WI)

Record details

NPI number1821472226
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP , FNP
Sole proprietorNo
NPI enumeratedJuly 15, 2015
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cornerstone Counseling Services Inc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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