KATHERINE S EDSALL MD
NPI 1063091445
Family Medicine in Hillsboro, WI

Active since April 05, 2021PECOS EnrolledAccepts Medicare Assignment
400 WATER AVE, HILLSBORO, WI 54634(608) 489-8000 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2023, Apr 12, 2021, Apr 5, 2021 (3 updates tracked since 2021).

About Katherine S Edsall Md NPPES

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

KATHERINE S EDSALL MD (NPI 1063091445) is an individual family medicine provider in Hillsboro, Wisconsin, licensed in Wisconsin (81348) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Gundersen St Josephs Hospital And Clinics, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1063091445
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHERINE S EDSALLCredential: MD
Location Address400 WATER AVEHillsboro, WI 54634-9054
Mailing Address400 Water AveHillsboro, WI 54634-9054 · (608) 489-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 5, 2021
Last NPPES UpdateAugust 28, 20243 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
NPI 1063091445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 81348
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 WATER AVE, Hillsboro, WI 54634

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

Katherine S Edsall Md 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 ID2163826710
PECOS Enrollment IDI20231222001211
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

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

Gundersen St Josephs Hospital And Clinics

Critical Access Hospitals · Hillsboro, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521304
Location400 Water AveHillsboro, WI 54634 · Vernon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54634 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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 20

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

Family Medicine
400 WATER AVE
HILLSBORO, WI 54634
Family Medicine
400 WATER AVE
HILLSBORO, WI 54634
Massage Therapist
400 WATER AVE
HILLSBORO, WI 54634
Physical Therapist
400 WATER AVE
HILLSBORO, WI 54634
Dietitian, Registered
400 WATER AVE
HILLSBORO, WI 54634
Physician Assistant (Medical)
400 WATER AVE
HILLSBORO, WI 54634
Clinic/Center
400 WATER AVE
HILLSBORO, WI 54634
Physical Therapy Assistant
400 WATER AVE, ST JOSEPHS HOSP
HILLSBORO, WI 54634

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 Katherine Edsall's NPI number?

The NPI number for Katherine Edsall is 1063091445. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Katherine Edsall located?

Katherine Edsall practices at 400 Water Ave, Hillsboro, WI 54634. The listed phone number is (608) 489-8000.

What is Katherine Edsall's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katherine Edsall enrolled in Medicare?

Yes. Katherine Edsall 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 Katherine Edsall accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Quartz and Security Health Plan list Katherine Edsall 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 Katherine Edsall affiliated with any hospitals?

According to CMS data, Katherine Edsall is affiliated with Gundersen St Josephs Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Katherine Edsall was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.