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

Stephanie Rose Wynn, NP

Individual provider Nurse Practitioner · NPI 1417415761

Stephanie Rose Wynn, NP is a Nurse Practitioner in Kenosha, Wisconsin. Qualified in 2018, 8 years ago. Practices with Aurora Health Care Metro, Inc, a 74-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

6811 118th Ave
Kenosha, WI 53142-8420
Phone: (262) 857-5750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • N26w23977 Watertown Rd, Waukesha, WI 53188-1006 — (800) 427-1902

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9103 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 9103-33 (WI)

Record details

NPI number1417415761
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 6, 2019
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Aurora Health Care Metro, Inc. — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kenosha