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

Kimberly Kate Mizelle, APNP

Individual provider Family Nurse Practitioner · NPI 1497632103

Kimberly Kate Mizelle, APNP is a Nurse Practitioner in Lake Geneva, Wisconsin. Qualified in 2025, 1 year ago. Practices with Mercy Health System Corporation, a 751-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025

Practice location Address checks out

N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone: (262) 245-0535
Fax: (262) 245-4627
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 179925-30 (WI)

Record details

NPI number1497632103
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedAugust 18, 2025
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mercy Health System Corporation — 751 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Geneva