KATHERINE BOUGIE
NPI 1114615895
Physician Assistant in Milwaukee, WI

Active since May 01, 2023PECOS EnrolledAccepts Medicare Assignment
2301 N LAKE DR, MILWAUKEE, WI 53211(414) 585-1000 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katherine Bougie NPPES

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

KATHERINE BOUGIE (NPI 1114615895) is an individual physician assistant in Milwaukee, Wisconsin and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114615895
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHERINE BOUGIE
Location Address2301 N LAKE DRMilwaukee, WI 53211-4508
Mailing AddressW142n10576 Magnolia DrGermantown, WI 53022-6217 · (414) 507-6199
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 1, 2023
NPPES CertifiedApril 29, 2023
NPI 1114615895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

2301 N LAKE DR, Milwaukee, WI 53211

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 Bougie 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 ID2668832957
PECOS Enrollment IDI20230718003316
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

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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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.

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.

Dietitian, Registered
2301 N LAKE DR
MILWAUKEE, WI 53211
Student in an Organized Health Care Education/Training Program
2301 N LAKE DR
MILWAUKEE, WI 53211
Student in an Organized Health Care Education/Training Program
2301 N LAKE DR
MILWAUKEE, WI 53211
Recreation Therapist
2301 N LAKE DR
MILWAUKEE, WI 53211
Nurse Practitioner (Acute Care)
2301 N LAKE DR
MILWAUKEE, WI 53211
Recreation Therapist
2301 N LAKE DR
MILWAUKEE, WI 53211
Physical Therapy Assistant
2301 N LAKE DR
MILWAUKEE, WI 53211
Emergency Medicine
2301 N LAKE DR
MILWAUKEE, WI 53211

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 Bougie's NPI number?

The NPI number for Katherine Bougie is 1114615895. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Katherine Bougie located?

Katherine Bougie practices at 2301 N Lake Dr, Milwaukee, WI 53211. The listed phone number is (414) 585-1000.

What is Katherine Bougie's specialty?

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

Is Katherine Bougie enrolled in Medicare?

Yes. Katherine Bougie 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 Bougie accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Katherine Bougie 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 Bougie affiliated with any hospitals?

According to CMS data, Katherine Bougie is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Bougie was last updated on May 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.