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HOLLY KEDDINGTON PA-C
NPI 1194458794
Physician Assistant in Waterloo, WI

Active since July 01, 2022PECOS Enrolled
105 HIGHLAND TER, WATERLOO, WI 53594(920) 478-2141(920) 478-3820 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Jun 18, 2024 (2 updates tracked since 2024).

About Holly Keddington Pa-c NPPES

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

HOLLY KEDDINGTON PA-C (NPI 1194458794) is an individual physician assistant in Waterloo, Wisconsin, licensed in Wisconsin (7947-23) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194458794
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHOLLY KEDDINGTONCredential: PA-C
Location Address105 HIGHLAND TERWaterloo, WI 53594-2217
Mailing Address105 Highland TerWaterloo, WI 53594-2217 · (920) 478-2141 · Fax (920) 478-3820
Phone(920) 478-2141
Fax(920) 478-3820
Sole ProprietorYes
Enumeration DateJuly 1, 2022
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1194458794 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 · 7947-23
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.
105 HIGHLAND TER, Waterloo, WI 53594
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Other Identifiers 1

Medicaid1194458794WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Keddington Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53594 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

F. BRADFORD MEYERS M.D.
Family Medicine
105 HIGHLAND TER
WATERLOO, WI 53594
Jefferson County (920) 478-2141
LAURA B SCHULTZ PA-C
Physician Assistant
105 HIGHLAND TER
WATERLOO, WI 53594
Jefferson County (920) 478-2141
DEAN HEALTH SYSTEMS, INC.
Durable Medical Equipment & Medical Supplies
105 HIGHLAND TER
WATERLOO, WI 53594
Jefferson County (920) 478-2141

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 Holly Keddington's NPI number?

The NPI number for Holly Keddington is 1194458794. It was assigned to this individual provider in the NPPES registry on July 1, 2022.

Where is Holly Keddington located?

Holly Keddington practices at 105 Highland Ter, Waterloo, WI 53594. The listed phone number is (920) 478-2141.

What is Holly Keddington's specialty?

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

Is Holly Keddington enrolled in Medicare?

Yes. Holly Keddington is registered in the Medicare PECOS enrollment system.

What insurance does Holly Keddington accept?

Health plans from Anthem Blue Cross and Blue Shield list Holly Keddington 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.

When was this NPI record last updated?

The NPPES record for Holly Keddington was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.