KELLY THEODORE PMHNP, FNP
NPI 1821472226
Nurse Practitioner - Psychiatric/Mental Health in Milwaukee, WI
About Kelly Theodore Pmhnp, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY THEODORE PMHNP, FNP (NPI 1821472226) is an individual psychiatric/mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (6467) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Theodore Pmhnp, Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILWAUKEE, WI 53202
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 Theodore's NPI number?
The NPI number for Kelly Theodore is 1821472226. It was assigned to this individual provider in the NPPES registry on July 15, 2015.
Where is Kelly Theodore located?
Kelly Theodore practices at 111 E Wisconsin Ave Ste 1500, Milwaukee, WI 53202. The listed phone number is (262) 999-3495.
What is Kelly Theodore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kelly Theodore enrolled in Medicare?
Yes. Kelly Theodore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kelly Theodore accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and Network Health and 1 other insurer list Kelly Theodore 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 Theodore was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Kelly Theodore, PMHNP, FNP · NPI 1821472226
Psychiatric/Mental Health physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since July 15, 2015.
## Identity
- **NPI:** 1821472226 (Entity type: Individual)
- **Enumerated:** July 15, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 6467 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 E WISCONSIN AVE STE 1500, Milwaukee, WI 53202-4808
- **Phone:** (262) 999-3495
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 22, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1821472226) · Data from the CMS NPPES public registry.