KELSIE SUNDBERG PA
NPI 1043663891
Physician Assistant - Surgical in Madison, WI

Active since July 18, 2016PECOS EnrolledAccepts Medicare Assignment
600 HIGHLAND AVE, MADISON, WI 53792(608) 263-6190 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2025, Apr 21, 2022 (2 updates tracked since 2022).

About Kelsie Sundberg Pa NPPES

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

KELSIE SUNDBERG PA (NPI 1043663891) is an individual surgical provider in Madison, Wisconsin, licensed in Wisconsin (3815-23) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043663891
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKELSIE SUNDBERGCredential: PA
Location Address600 HIGHLAND AVEMadison, WI 53792-0001
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 18, 2016
Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
NPI 1043663891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WI · 3815-23
Also ListedPhysician AssistantTaxonomy 363A00000X · License 3815 (WI)
600 HIGHLAND AVE, Madison, WI 53792

Secondary Practice Locations 2

Location 12801 W Kk River Pkwy Ste 575Milwaukee, WI 53215-5200 · Phone (414) 649-3240
Location 22900 W Oklahoma AveMilwaukee, WI 53215-4330 · Phone (414) 649-6333

Other Identifiers 1

Medicaid100061275WI

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

Kelsie Sundberg Pa 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.

PECOS PAC ID7517249865
PECOS Enrollment IDI20170120001017
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792

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 Kelsie Sundberg's NPI number?

The NPI number for Kelsie Sundberg is 1043663891. It was assigned to this individual provider in the NPPES registry on July 18, 2016.

Where is Kelsie Sundberg located?

Kelsie Sundberg practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-6190.

What is Kelsie Sundberg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kelsie Sundberg enrolled in Medicare?

Yes. Kelsie Sundberg 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 Kelsie Sundberg accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Kelsie Sundberg 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.

Is Kelsie Sundberg affiliated with any hospitals?

According to CMS data, Kelsie Sundberg is affiliated with University Of Wi Hospitals & Clinics Authority and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Kelsie Sundberg was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.