KATELYN A VANDERLOOP PA-C
NPI 1659801215
Physician Assistant in Greenfield, WI

Active since June 15, 2017PECOS Enrolled
9000 W SURA LN, GREENFIELD, WI 53228(414) 246-6400 Get Directions Write a Review

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 24, 2023, May 19, 2023, Nov 30, 2021 and 4 more (7 updates tracked since 2017).

About Katelyn A Vanderloop Pa-c NPPES

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

KATELYN A VANDERLOOP PA-C (NPI 1659801215) is an individual physician assistant in Greenfield, Wisconsin, licensed in Wisconsin (4100-23) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659801215
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATELYN A VANDERLOOPCredential: PA-C
Location Address9000 W SURA LNGreenfield, WI 53228-3477
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (414) 246-6800
Sole ProprietorNo
Enumeration DateJune 15, 2017
Last NPPES UpdateNovember 24, 20237 updates tracked since enumeration
NPPES CertifiedNovember 24, 2023
NPI 1659801215 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 · 4100-23
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.

9000 W SURA LN, Greenfield, WI 53228

Other Identifiers 1

Medicaid100070012WI

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 (PECOS)

Katelyn A Vanderloop 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53228 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.

Pharmacist
9000 W SURA LN
GREENFIELD, WI 53228
Physical Therapy Assistant
9000 W SURA LN
GREENFIELD, WI 53228
Registered Nurse (Diabetes Educator)
9000 W SURA LN
GREENFIELD, WI 53228
Specialist/Technologist (Athletic Trainer)
9000 W SURA LN
GREENFIELD, WI 53228
Dietitian, Registered
9000 W SURA LN
GREENFIELD, WI 53228
Physical Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Pediatrics
9000 W SURA LN
GREENFIELD, WI 53228
Advanced Practice Midwife
9000 W SURA LN
GREENFIELD, WI 53228

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659801215, enumerated as an "individual" on June 15, 2017.

The provider is located at 9000 W SURA LN GREENFIELD, WI 53228 and the phone number is (414) 246-6400.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Aspirus Health Plan, CareSource (Common Ground. Please consult your insurance carrier or call the provider to verify.