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DR. KELLY HENRICKSON MD
NPI 1033161708
Pediatrics - Pediatric Infectious Diseases in Milwaukee, WI

Active since May 17, 2006PECOS Enrolled
9000 W WISCONSIN AVE, PEDIATRIC INFECTIOUS DISEASE, MILWAUKEE, WI 53226(414) 337-7070(414) 337-7093 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly Henrickson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY HENRICKSON MD (NPI 1033161708) is an individual pediatric infectious diseases provider in Milwaukee, Wisconsin, licensed in Wisconsin (31214) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033161708
Entity TypeIndividualMale
Primary Taxonomy2080P0208X
Provider Legal NameDR. KELLY HENRICKSONCredential: MD
Location Address9000 W WISCONSIN AVE, PEDIATRIC INFECTIOUS DISEASEMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin Ave, Pediatric Infectious DiseaseMilwaukee, WI 53226-4874 · (414) 337-7070 · Fax (414) 337-7093
Phone(414) 337-7070
Fax(414) 337-7093
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 26, 2014
✔ NPI 1033161708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in WI · 31214
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
9000 W WISCONSIN AVE, Milwaukee, WI 53226
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Other Identifiers 5

Medicare UPINE46207
Medicaid1033161708WI
Medicare PIN680862616WI
Medicare PIN736012625WI
Other002000198GHumana

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Henrickson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LESLIE L. TALBERT NP
Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3360
SARAH MARIE RUMLER DO
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4170
ALISON COREN
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6750
BRANDON PALMER M.D.
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 337-7050
AIDAN JAMES REID DO
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
KYNDAL LYN HETTICH RD, CSP, CD
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-5938
CARISA MARIE DIMATTINA LCSW
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 581-4004
BREYA LOGAN WHITEFIELD PHD
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Henrickson's NPI number?

The NPI number for Kelly Henrickson is 1033161708. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Kelly Henrickson located?

Kelly Henrickson practices at 9000 W Wisconsin Ave Pediatric Infectious Disease, Milwaukee, WI 53226. The listed phone number is (414) 337-7070.

What is Kelly Henrickson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Kelly Henrickson enrolled in Medicare?

Yes. Kelly Henrickson is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Henrickson accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and UnitedHealthcare list Kelly Henrickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Henrickson was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.