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KELSEY PAIGE PENDLETON
NPI 1497140503
Family Medicine in Wauwatosa, WI

Active since April 06, 2015PECOS Enrolled
530 N 108TH PL STE 100, WAUWATOSA, WI 53226(414) 797-3551 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 24, 2021, Jul 24, 2019, Dec 27, 2018 and 3 more (6 updates tracked since 2018).

About Kelsey Paige Pendleton NPPES

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

KELSEY PAIGE PENDLETON (NPI 1497140503) is an individual family medicine provider in Wauwatosa, Wisconsin, licensed in Wisconsin (71109-20) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497140503
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELSEY PAIGE PENDLETON
Location Address530 N 108TH PL STE 100Wauwatosa, WI 53226-4253
Mailing Address530 N 108th Pl Ste 100Wauwatosa, WI 53226-4253 · (414) 797-3551
Phone(414) 797-3551
Sole ProprietorYes
Enumeration DateApril 6, 2015
Last NPPES UpdateNovember 24, 20216 updates tracked since enumeration
NPPES CertifiedNovember 24, 2021
✔ NPI 1497140503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 71109-20✔ Licensed in PA · MT209128✔ Licensed in KY · 51558
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
530 N 108TH PL STE 100, Wauwatosa, WI 53226
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Paige Pendleton 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelsey Pendleton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health System Corporation
55 mi
Mental Health (Including Community Mental Health Center)
903 MINERAL POINT AVE
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin and Illinois enrollments
  • Also billed through NPI 1598718603 (Illinois)
  • 1,155 clinicians in this Medicare group
NPI 1669685129 (608) 756-5555
Rockford Health Physicians
68 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$7.46 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$91.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

KATHLEEN STORCK CNM, APNP
Advanced Practice Midwife
530 N 108TH PL STE 100
WAUWATOSA, WI 53226
Milwaukee County (414) 231-9640
AUTHENTIC BIRTH CENTER WELLNESS COLLECTIVE LLC
Clinic/Center (Birthing)
530 N 108TH PL STE 100
WAUWATOSA, WI 53226
Milwaukee County (414) 231-9640
AUTHENTIC MIDWIVES LLC
Advanced Practice Midwife
530 N 108TH PL STE 100
WAUWATOSA, WI 53226
Milwaukee County (414) 231-9640
VIBRANCE FAMILY CHIROPRACTIC LLC
Chiropractor
530 N 108TH PL STE 100
WAUWATOSA, WI 53226
Milwaukee County (414) 510-1263
KATY SKARLATOS CPM
Midwife
530 N 108TH PL STE 100
WAUWATOSA, WI 53226
Milwaukee County (414) 231-9640
ALICE M PHIPPS CNM, NP
Advanced Practice Midwife
530 N 108TH PL STE 100
WAUWATOSA, WI 53226
Milwaukee County (414) 231-9640
MRS. LANETTE J MCQUITTY CPM, LM
Midwife
530 N 108TH PL STE 100
WAUWATOSA, WI 53226
Milwaukee County (414) 231-9640
THE LACTATION CLINIC OF SOUTHEAST WISCONSIN, INC
Lactation Consultant, Non-RN
530 N 108TH PL STE 100
WAUWATOSA, WI 53226
Milwaukee County (414) 628-7659

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 Pendleton's NPI number?

The NPI number for Kelsey Pendleton is 1497140503. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Kelsey Pendleton located?

Kelsey Pendleton practices at 530 N 108th Pl Ste 100, Wauwatosa, WI 53226. The listed phone number is (414) 797-3551.

What is Kelsey Pendleton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelsey Pendleton enrolled in Medicare?

Yes. Kelsey Pendleton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelsey Pendleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Pendleton reassigns Medicare benefits to 2 organizations: Mercy Health System Corporation (Janesville, WI) and Rockford Health Physicians (Rockford, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Pendleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Pendleton accept?

Health plans from CareSource list Kelsey Pendleton 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 Kelsey Pendleton was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.