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

Kemba Banyard, NP

Individual provider Nurse Practitioner · NPI 1295080521

Kemba Banyard, NP is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2014, 12 years ago. Practices with Professional Services Group Inc, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
12
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

2468 W Lisbon Ave
Milwaukee, WI 53205-1413
Phone: (414) 204-8488
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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 4887 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4887 (WI)

Record details

NPI number1295080521
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 24, 2012
Last updated in NPPESSeptember 5, 2019
Mailing address2468 W Lisbon Ave, Milwaukee, WI 53205-1413

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Professional Services Group Inc. — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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