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

Tracy Derksen, APNP

Individual provider Family Nurse Practitioner · NPI 1497304612

Tracy Derksen, APNP is a Nurse Practitioner in Kewaskum, Wisconsin. Qualified in 2019, 7 years ago. Practices with Froedtert Andthe Medical College of Wisconsin Community Physicians Inc, a 1,255-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2019

Practice location Address checks out

1701 Fond Du Lac Ave
Kewaskum, WI 53040-9129
Phone: (262) 626-4616
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 9480-33 (WI)

Record details

NPI number1497304612
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorYes
NPI enumeratedSeptember 10, 2019
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025
Mailing address1701 Fond Du Lac Ave, Kewaskum, WI 53040-9129

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc — 1255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kewaskum