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

Telly Hunter

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114763281

Telly Hunter is a Nurse Practitioner in Waukesha, Wisconsin. Qualified in 2023, 3 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
3
Licensed in
IL, WI
In the registry since
2024
Specialties on file
3

Practice location Address checks out

725 American Ave
Waukesha, WI 53188-5031
Phone: (262) 928-7087
Show map & directions

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

Additional practice locations (1)

  • 1786 Kelberg Ave, Hoffman Estates, IL 60192-4808 — (847) 660-8754

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 15626 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 15626-33 (WI)

Record details

NPI number1114763281
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 8, 2024
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waukesha