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

Kristi R Pennenberg, APNP

Individual provider Nurse Practitioner · NPI 1619306297

Kristi R Pennenberg, APNP is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2013, 13 years ago. Practices with Baycare Aurora LLC, a 199-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
13
Licensed in
WI
In the registry since
2013
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Practice location Address checks out

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-8250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2020 Riverside Dr, Green Bay, WI 54301-2300 — (920) 433-9920
  • 1821 S Webster Ave, Green Bay, WI 54301-2253 — (920) 496-4700

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5560 (WI)

Record details

NPI number1619306297
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedNovember 5, 2013
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Baycare Aurora Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay