HANNAH KERKHOF PA-C
NPI 1780356691
Physician Assistant in Shawano, WI

Q: What is Hannah Kerkhof's NPI number?

The NPI number for Hannah Kerkhof is 1780356691. It was assigned to this individual provider in the NPPES registry on September 29, 2021.

Q: What is Hannah Kerkhof's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hannah Kerkhof was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 29, 2021PECOS EnrolledAccepts Medicare Assignment

100 COUNTY ROAD B, SHAWANO, WI 54166(715) 524-2161(715) 916-3029 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2023, Sep 29, 2021 (2 updates tracked since 2021).

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About Hannah Kerkhof Pa-c NPPES

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

HANNAH KERKHOF PA-C (NPI 1780356691) is an individual physician assistant in Shawano, Wisconsin and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780356691

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHANNAH KERKHOFCredential: PA-C

Location Address100 COUNTY ROAD BShawano, WI 54166-7072

Mailing Address100 County Road BShawano, WI 54166-7072 · (715) 524-2161 · Fax (715) 916-3029

Phone(715) 524-2161

Fax(715) 916-3029

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 29, 2021

Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration

NPPES CertifiedMarch 6, 2023

✔ NPI 1780356691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

100 COUNTY ROAD B, Shawano, WI 54166

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Secondary Practice Locations 2

Location 1370 S Main StClintonville, WI 54929-1632 · Phone (715) 823-5161

Location 23475 S Alpine RdRockford, IL 61109-2604 · Phone (815) 874-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Hannah Kerkhof 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 ID7012308521

PECOS Enrollment IDI20230302002974

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.

Hospital Affiliations CMS Care Compare 2

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520045

Location130 2nd StNeenah, WI 54956 · Winnebago County

Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521346

Location100 County Rd BShawano, WI 54166 · Shawano County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54166 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.

SHOPKO STORES OPERATING CO., LLC

Pharmacy (Community/Retail Pharmacy)