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

Kemba Banyard, NP

Individual provider Nurse Practitioner · NPI 1295080521

Kemba Banyard, NP is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2014, 12 years ago. Practices with Professional Services Group Inc, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2012
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

2468 W Lisbon Ave
Milwaukee, WI 53205-1413
Phone: (414) 204-8488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4887 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4887 (WI)

Record details

NPI number1295080521
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 24, 2012
Last updated in NPPESSeptember 5, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Professional Services Group Inc. — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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