KATHERINE S EDSALL MD
NPI 1063091445
Family Medicine in Hillsboro, WI
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 Lutheran Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Katherine Edsall reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hillsboro, WI 54634
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: St Josephs Health Services Inc
- 282 clinicians in this Medicare group
Hillsboro, WI 54634
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
Onalaska, WI 54650
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Gundersen Lutheran Medical Center
Acute Care Hospitals · La Crosse, WIGundersen St Josephs Hospital And Clinics
Critical Access Hospitals · Hillsboro, WIPhysician 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.
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.
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.
Which organizations bill Medicare for Katherine Edsall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Edsall reassigns Medicare benefits to 3 organizations: St. Joseph's Health Services, Inc. (Hillsboro, WI), Gundersen Clinic, Ltd. (Hillsboro, WI) and Gundersen Lutheran Medical Center, Inc (Onalaska, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Edsall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Edsall accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, 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 Lutheran Medical Center and 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 2 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.
# Katherine S Edsall, MD · NPI 1063091445
Family Medicine physician in Hillsboro, Wisconsin. Individual provider, active in the CMS NPPES registry since April 5, 2021.
## Identity
- **NPI:** 1063091445 (Entity type: Individual)
- **Enumerated:** April 5, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 81348 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 WATER AVE, Hillsboro, WI 54634-9054
- **Phone:** (608) 489-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St. Joseph's Health Services, Inc. (NPI 1972591410, Hillsboro, WI); Gundersen Clinic, Ltd. (NPI 1578517140, Hillsboro, WI); Gundersen Lutheran Medical Center, Inc (NPI 1225372923, Onalaska, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063091445) · Data from the CMS NPPES public registry.