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

Olivia Haessly

Individual provider Women's Health Nurse Practitioner · NPI 1710741525

Olivia Haessly is a Nurse Practitioner in Kenosha, Wisconsin. Graduated from Vanderbilt University School of Medicine in 2023, 3 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Wisconsin.

Years since qualifying
3
Trained at
Vanderbilt University School of Medicine
Licensed in
TN, WI
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

10400 75th St
Kenosha, WI 53142-7884
Phone: (262) 948-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1408 Edgehill Ave, Nashville, TN 37212-2420 — (715) 305-6006

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 17523 (WI)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence 35784 (TN)

Record details

NPI number1710741525
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 12, 2024
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kenosha