KELSEY E GAFFNEY PA
NPI 1164989281
Physician Assistant in Appleton, WI

Active since February 25, 2019PECOS EnrolledAccepts Medicare Assignment
2500 E CAPITOL DR, APPLETON, WI 54911(920) 830-6877 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2020, Feb 25, 2019 (2 updates tracked since 2019).

About Kelsey E Gaffney Pa NPPES

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

KELSEY E GAFFNEY PA (NPI 1164989281) is an individual physician assistant in Appleton, Wisconsin, licensed in Wisconsin (4980) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains a secondary practice location in Menasha.

NPPES Registry Identity

NPI1164989281
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY E GAFFNEYCredential: PA
Location Address2500 E CAPITOL DRAppleton, WI 54911-8735
Mailing Address122 E College AveAppleton, WI 54911-5741 · (920) 996-3264 · Fax (920) 830-5910
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 25, 2019
Last NPPES UpdateJanuary 30, 20202 updates tracked since enumeration
NPI 1164989281 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
License Licensed in WI · 4980
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.
2500 E CAPITOL DR, Appleton, WI 54911

Secondary Practice Location 1

Location 1201 Lake StMenasha, WI 54952-2720 · Phone (920) 659-3967

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

Kelsey E Gaffney 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 ID4385070416
PECOS Enrollment IDI20200207001136
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.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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.

Nurse Practitioner (Family)
2500 E CAPITOL DR
APPLETON, WI 54911
Genetic Counselor, MS
2500 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner (Family)
2500 E CAPITOL DR
APPLETON, WI 54911
Internal Medicine (Hematology & Oncology)
2500 E CAPITOL DR
APPLETON, WI 54911
Genetic Counselor, MS
2500 E CAPITOL DR
APPLETON, WI 54911
Internal Medicine
2500 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner
2500 E CAPITOL DR
APPLETON, WI 54911
Nurse Practitioner (Family)
2500 E CAPITOL DR
APPLETON, WI 54911

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 Kelsey Gaffney's NPI number?

The NPI number for Kelsey Gaffney is 1164989281. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Where is Kelsey Gaffney located?

Kelsey Gaffney practices at 2500 E Capitol Dr, Appleton, WI 54911. The listed phone number is (920) 830-6877.

What is Kelsey Gaffney's specialty?

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

Is Kelsey Gaffney enrolled in Medicare?

Yes. Kelsey Gaffney 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 Kelsey Gaffney accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list Kelsey Gaffney 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 Kelsey Gaffney affiliated with any hospitals?

According to CMS data, Kelsey Gaffney is affiliated with Thedacare Regional Med Ctr - Neenah and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Kelsey Gaffney was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.