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

Mrs. Tilly Burroughs, APNP, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1669109641

Mrs. Tilly Burroughs, APNP, PMHNP-BC is a Nurse Practitioner in Kenosha, Wisconsin. Qualified in 2022, 4 years ago. Practices with Family Psychiatric Care LLC, a 6-clinician group. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1010 35th St
Kenosha, WI 53140-1902
Phone: (262) 725-4426
Fax: (262) 299-7136
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 13216-33 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 13216-33 (WI)

Record details

NPI number1669109641
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP , PMHNP-BC
Sole proprietorNo
NPI enumeratedAugust 1, 2022
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Family Psychiatric Care Llc — 6 clinicians
Accepts Medicare assignment Not indicated

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