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KIRSTEN D PETHAN PA-C
NPI 1033465679
Physician Assistant in Appleton, WI

Active since August 01, 2012PECOS Enrolled
145 W CALUMET ST, APPLETON, WI 54915(920) 967-4141(833) 972-1585 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2025, Sep 29, 2022, Jan 6, 2021 and 2 more (5 updates tracked since 2020).

About Kirsten D Pethan Pa-c NPPES

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

KIRSTEN D PETHAN PA-C (NPI 1033465679) is an individual physician assistant in Appleton, Wisconsin, licensed in Wisconsin (5206) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033465679
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIRSTEN D PETHANCredential: PA-C
Location Address145 W CALUMET STAppleton, WI 54915-4934
Mailing Address145 W Calumet StAppleton, WI 54915-4934 · Fax (833) 972-1585
Phone(920) 967-4141
Fax(833) 972-1585
Sole ProprietorNo
Enumeration DateAugust 1, 2012
Last NPPES UpdateNovember 5, 20255 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1033465679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WI · 5206✔ Licensed in MN · 11202
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
145 W CALUMET ST, Appleton, WI 54915
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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)

Kirsten D Pethan Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

MRS. KATHERINE LYNN ERSTAD NP
Nurse Practitioner
145 W CALUMET ST
APPLETON, WI 54915
Calumet County (920) 967-4141
TERESA MARIE GAJEWSKI PA
Physician Assistant
145 W CALUMET ST
APPLETON, WI 54915
Calumet County (920) 967-4141
ANNE JORDAN MD
Family Medicine
145 W CALUMET ST
APPLETON, WI 54915
Calumet County (920) 967-4141

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 Kirsten Pethan's NPI number?

The NPI number for Kirsten Pethan is 1033465679. It was assigned to this individual provider in the NPPES registry on August 1, 2012.

Where is Kirsten Pethan located?

Kirsten Pethan practices at 145 W Calumet St, Appleton, WI 54915. The listed phone number is (920) 967-4141.

What is Kirsten Pethan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kirsten Pethan enrolled in Medicare?

Yes. Kirsten Pethan is registered in the Medicare PECOS enrollment system.

What insurance does Kirsten Pethan accept?

Health plans from CareSource (Common Ground Healthcare) list Kirsten Pethan 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 Kirsten Pethan was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.