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KRISTIN K. LIETZAU PA
NPI 1154883593
Physician Assistant in Beloit, WI

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
73.05/100
CMS Quality Rating
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY, BELOIT, WI 53511(608) 364-2230(608) 363-7394 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2019, Apr 4, 2019 (2 updates tracked since 2019).

About Kristin K. Lietzau Pa NPPES

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

KRISTIN K. LIETZAU PA (NPI 1154883593) is an individual physician assistant in Beloit, Wisconsin, licensed in Wisconsin (4671-23) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154883593
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTIN K. LIETZAUCredential: PA
Location AddressBELOIT CLINIC, 1905 E. HUEBBE PARKWAYBeloit, WI 53511-1842
Mailing AddressBeloit Clinic, 1905 E. Huebbe ParkwayBeloit, WI 53511-1842 · (608) 364-2293 · Fax (608) 364-5452
Phone(608) 364-2230
Fax(608) 363-7394
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 4, 2019
Last NPPES UpdateMay 28, 20192 updates tracked since enumeration
✔ NPI 1154883593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WI · 4671-23✔ Licensed in IL · 085-007026
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.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 085.007026 (IL)
BELOIT CLINIC, Beloit, WI 53511
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz.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

Kristin K. Lietzau Pa 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 ID6103169545
PECOS Enrollment IDI20190528001312, I20190528001675
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 5

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
54 services51 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
25 services23 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
21 services11 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
19 services19 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.
18 services14 patients

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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.

73.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.79
Promoting Interoperability100
Improvement Activities40
Cost51.38

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.

CYNTHIA L PHILPOTT NP
Nurse Practitioner
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2400
JENNIFER S. CHO-ESCALANTE DO
Family Medicine
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2240
ROBERT JOHN DERBY NP
Nurse Practitioner
BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-1640
DR. LEE ALAN MCFADDEN M.D.
Orthopaedic Surgery
BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2230
DR. ROBERT R HARRIS M.D.
Obstetrics & Gynecology
BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2220
DR. CYNTHIA L. PALABRICA M.D.
Obstetrics & Gynecology
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2200
DR. ZACHARY ADAM ZIMMERMAN M.D.
Otolaryngology
BELOIT CLINIC, 1905 E HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2400
GRETCHEN R WITOWICH MS, RD, LDN
Dietitian, Registered
BELOIT CLINIC, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2400

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 Kristin Lietzau's NPI number?

The NPI number for Kristin Lietzau is 1154883593. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Kristin Lietzau located?

Kristin Lietzau practices at Beloit Clinic 1905 E. Huebbe Parkway, Beloit, WI 53511. The listed phone number is (608) 364-2230.

What is Kristin Lietzau's specialty?

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

Is Kristin Lietzau enrolled in Medicare?

Yes. Kristin Lietzau 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 Kristin Lietzau accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Kristin Lietzau 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 Kristin Lietzau affiliated with any hospitals?

According to CMS data, Kristin Lietzau is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Kristin Lietzau was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.