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

MS. Mary K. Yellick, APNP

Individual provider Nurse Practitioner · NPI 1508812918

MS. Mary K. Yellick, APNP is a Nurse Practitioner in Pewaukee, Wisconsin. Qualified in 1998, 28 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
28
Licensed in
WI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

285 Forest Grove Dr Ste 124
Pewaukee, WI 53072-3716
Phone: (262) 329-8100
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 1417 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 1417 (WI)

Record details

NPI number1508812918
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pewaukee