KILEY DEHAVEN PA-C
NPI 1063071157
Physician Assistant - Medical in Middleton, WI

Active since June 12, 2019PECOS EnrolledAccepts Medicare Assignment
2365 DEMING WAY, MIDDLETON, WI 53562(608) 824-6160 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2022, Nov 6, 2020, Aug 16, 2019 and 1 more (4 updates tracked since 2019).

About Kiley Dehaven Pa-c NPPES

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

KILEY DEHAVEN PA-C (NPI 1063071157) is an individual medical provider in Middleton, Wisconsin, licensed in Wisconsin (4756) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Madison, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063071157
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKILEY DEHAVENCredential: PA-C
Location Address2365 DEMING WAYMiddleton, WI 53562-5512
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 12, 2019
Last NPPES UpdateFebruary 8, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
NPI 1063071157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WI · 4756
Also ListedPhysician AssistantTaxonomy 363A00000X
2365 DEMING WAY, Middleton, WI 53562

Secondary Practice Location 1

Location 11821 S Stoughton RdMadison, WI 53716-2257 · Phone (608) 260-6000

Other Identifiers 1

Medicaid1063071157WI

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

Kiley Dehaven Pa-c 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 ID3476881814
PECOS Enrollment IDI20190823000889
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.

Other Providers at the Same Location NPPES 10

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

Clinic/Center (Multi-Specialty)
2365 DEMING WAY
MIDDLETON, WI 53562
Physician Assistant (Medical)
2365 DEMING WAY
MIDDLETON, WI 53562
Obstetrics & Gynecology (Reproductive Endocrinology)
2365 DEMING WAY
MIDDLETON, WI 53562
Psychologist
2365 DEMING WAY
MIDDLETON, WI 53562
Obstetrics & Gynecology
2365 DEMING WAY
MIDDLETON, WI 53562
Obstetrics & Gynecology (Reproductive Endocrinology)
2365 DEMING WAY
MIDDLETON, WI 53562
Physician Assistant (Medical)
2365 DEMING WAY
MIDDLETON, WI 53562
Obstetrics & Gynecology (Reproductive Endocrinology)
2365 DEMING WAY
MIDDLETON, WI 53562

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 Kiley Dehaven's NPI number?

The NPI number for Kiley Dehaven is 1063071157. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Kiley Dehaven located?

Kiley Dehaven practices at 2365 Deming Way, Middleton, WI 53562. The listed phone number is (608) 824-6160.

What is Kiley Dehaven's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kiley Dehaven enrolled in Medicare?

Yes. Kiley Dehaven 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 Kiley Dehaven accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Kiley Dehaven 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 Kiley Dehaven was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.