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

Kelsey Koenig

Individual provider Family Medicine Physician · NPI 1558789313

Kelsey Koenig is a Family Practice in New Berlin, Wisconsin. Qualified in 2014, 12 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2014
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13900 W National Ave
New Berlin, WI 53151-9515
Phone: (262) 928-4500
Fax: (262) 928-4550
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 210 Nw Barstow St, Waukesha, WI 53188-3771 — (262) 548-6907

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 64544-20 (WI)

Record details

NPI number1558789313
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2014
Last updated in NPPESApril 30, 2021
Certification dateApril 30, 2021
Mailing address210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Berlin