IndividualActive
Carolyn Penegor, FNP-BC
NPI 1386918043 · Family Nurse Practitioner · Milwaukee, WI
Provider details
- NPI number
- 1386918043
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 4784-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Phone: (414) 672-1353
Street-level locationGet directions
Mailing address
Po Box 778789
Chicago, IL 60677-8789
Additional practice locations (1)
- 3727 W Wisconsin AveMilwaukee, WI 53208-3182Phone: (414) 291-2626
Registry dates
- Enumerated
- 2012-02-28
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.