Provider Demographics
NPI:1043025570
Name:HELMER, KELLIE ELIZABETH (MSN, APNP, PMHNP-C)
Entity type:Individual
Prefix:
First Name:KELLIE
Middle Name:ELIZABETH
Last Name:HELMER
Suffix:
Gender:F
Credentials:MSN, APNP, PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 STATE ST
Mailing Address - Street 2:
Mailing Address - City:RIPON
Mailing Address - State:WI
Mailing Address - Zip Code:54971-1433
Mailing Address - Country:US
Mailing Address - Phone:920-638-3557
Mailing Address - Fax:
Practice Address - Street 1:805 STATE ST
Practice Address - Street 2:
Practice Address - City:RIPON
Practice Address - State:WI
Practice Address - Zip Code:54971-1433
Practice Address - Country:US
Practice Address - Phone:920-638-3557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16481-33363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health