ALISON M KETTERHAGEN PA-C
NPI 1083036123
Physician Assistant in Kenosha, WI

Active since January 08, 2014PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
10400 75TH ST, KENOSHA, WI 53142(262) 948-5600 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 16, 2022, Feb 4, 2019 (2 updates tracked since 2019).

About Alison M Ketterhagen Pa-c NPPES

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

ALISON M KETTERHAGEN PA-C (NPI 1083036123) is an individual physician assistant in Kenosha, Wisconsin, licensed in Wisconsin (4608) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and maintains a secondary practice location in Mount Pleasant.

NPPES Registry Identity

NPI1083036123
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALISON M KETTERHAGENCredential: PA-C
Location Address10400 75TH STKenosha, WI 53142-7884
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 8, 2014
Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
NPI 1083036123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 4608
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.

10400 75TH ST, Kenosha, WI 53142

Secondary Practice Location 1

Location 13805B Spring St Ste 320Mount Pleasant, WI 53405-1644 · Phone (303) 339-1499

Other Identifiers 1

Medicaid100085423WI

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

Alison M Ketterhagen 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 ID5991044604
PECOS Enrollment IDI20190225000986
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
121 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
105 services48 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
64 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services30 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
45 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services21 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

Anesthesiology
10400 75TH ST
KENOSHA, WI 53142
Physician Assistant
10400 75TH ST
KENOSHA, WI 53142
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Internal Medicine
10400 75TH ST
KENOSHA, WI 53142
Registered Nurse (Critical Care Medicine)
10400 75TH ST
KENOSHA, WI 53142

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 Alison Ketterhagen's NPI number?

The NPI number for Alison Ketterhagen is 1083036123. It was assigned to this individual provider in the NPPES registry on January 8, 2014.

Where is Alison Ketterhagen located?

Alison Ketterhagen practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-5600.

What is Alison Ketterhagen's specialty?

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

Is Alison Ketterhagen enrolled in Medicare?

Yes. Alison Ketterhagen 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 Alison Ketterhagen 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 Alison Ketterhagen 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 Alison Ketterhagen affiliated with any hospitals?

According to CMS data, Alison Ketterhagen is affiliated with Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Alison Ketterhagen was last updated on January 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.