KATHERINE D. KETTERHAGEN PA-C
NPI 1356414668
Physician Assistant in Janesville, WI

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
79.8/100
CMS Quality Rating
3200 E RACINE ST, JANESVILLE, WI 53546(608) 371-8000(608) 371-8008 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2020, Sep 16, 2016 (2 updates tracked since 2016).

About Katherine D. Ketterhagen Pa-c NPPES

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

KATHERINE D. KETTERHAGEN PA-C (NPI 1356414668) is an individual physician assistant in Janesville, Wisconsin, licensed in Wisconsin (1757-23) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1356414668
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHERINE D. KETTERHAGENCredential: PA-C
Location Address3200 E RACINE STJanesville, WI 53546-2343
Mailing Address1446 N Randall AveJanesville, WI 53545-1122 · (608) 758-7215 · Fax (608) 758-3216
Fax(608) 371-8008
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 16, 2006
Last NPPES UpdateNovember 3, 20202 updates tracked since enumeration
NPPES CertifiedNovember 3, 2020
NPI 1356414668 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 · 1757-23
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.

3200 E RACINE ST, Janesville, WI 53546

Other Names 1

Former Name (1)Katherine D Danna Pa-c

Other Identifiers 2

Medicaid41992300WI
Other61167WI · Dean Health Systems, Inc

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 D. Ketterhagen 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 ID8628039658
PECOS Enrollment IDI20041022001046
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
54 services52 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
53 services51 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
18 services17 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.
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.

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53546 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.

79.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.94
Promoting Interoperability100
Improvement Activities40
Cost39.73

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.

Physician Assistant (Medical)
3200 E RACINE ST
JANESVILLE, WI 53546
Registered Nurse (Diabetes Educator)
3200 E RACINE ST
JANESVILLE, WI 53546
Pediatrics
3200 E RACINE ST
JANESVILLE, WI 53546
Otolaryngology
3200 E RACINE ST
JANESVILLE, WI 53546
Physician Assistant
3200 E RACINE ST
JANESVILLE, WI 53546
Physical Therapist
3200 E RACINE ST
JANESVILLE, WI 53546
Physical Therapist
3200 E RACINE ST
JANESVILLE, WI 53546
Physical Therapist
3200 E RACINE ST
JANESVILLE, WI 53546

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 Ketterhagen's NPI number?

The NPI number for Katherine Ketterhagen is 1356414668. It was assigned to this individual provider in the NPPES registry on November 16, 2006. The provider is also known as Katherine D Danna Pa-C.

Where is Katherine Ketterhagen located?

Katherine Ketterhagen practices at 3200 E Racine St, Janesville, WI 53546. The listed phone number is (608) 371-8000.

What is Katherine Ketterhagen's specialty?

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

Is Katherine Ketterhagen enrolled in Medicare?

Yes. Katherine Ketterhagen 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 Ketterhagen accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Medica list Katherine Ketterhagen 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 Ketterhagen affiliated with any hospitals?

According to CMS data, Katherine Ketterhagen is affiliated with Fort Memorial Hospital and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Ketterhagen was last updated on November 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.