KELSEY ANNE DEFENBAUGH PA-C
NPI 1265068993
Physician Assistant - Medical in Milwaukee, WI

Active since March 13, 2020PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-4600(414) 805-2934 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 7, 2020, Mar 16, 2020, Mar 13, 2020 (3 updates tracked since 2020).

About Kelsey Anne Defenbaugh Pa-c NPPES

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

KELSEY ANNE DEFENBAUGH PA-C (NPI 1265068993) is an individual medical provider in Milwaukee, Wisconsin, licensed in Wisconsin (5019-23) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and maintains a secondary practice location in Wauwatosa.

NPPES Registry Identity

NPI1265068993
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELSEY ANNE DEFENBAUGHCredential: PA-C
Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-4600 · Fax (414) 805-2934
Fax(414) 805-2934
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2019
Enumeration DateMarch 13, 2020
Last NPPES UpdateAugust 7, 20203 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
NPI 1265068993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WI · 5019-23
9200 W WISCONSIN AVE, Milwaukee, WI 53226

Secondary Practice Location 1

Location 18701 W Watertown Plank RdWauwatosa, WI 53226-3548 · Phone (414) 805-4600

Other Identifiers 1

Medicaid1265068993WI

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 Anne Defenbaugh 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 ID3870922503
PECOS Enrollment IDI20200401001508
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
133 services37 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

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 Defenbaugh's NPI number?

The NPI number for Kelsey Defenbaugh is 1265068993. It was assigned to this individual provider in the NPPES registry on March 13, 2020.

Where is Kelsey Defenbaugh located?

Kelsey Defenbaugh practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-4600.

What is Kelsey Defenbaugh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelsey Defenbaugh enrolled in Medicare?

Yes. Kelsey Defenbaugh 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 Defenbaugh accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Network Health list Kelsey Defenbaugh 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 Defenbaugh affiliated with any hospitals?

According to CMS data, Kelsey Defenbaugh is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Defenbaugh was last updated on August 7, 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.