MRS. KELLYN JEAN DOERGE PA-C
NPI 1831453745
Physician Assistant in Milwaukee, WI
About Mrs. Kellyn Jean Doerge Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLYN JEAN DOERGE PA-C (NPI 1831453745) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (2954-23) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
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
Mrs. Kellyn Jean Doerge 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.
Areas of Expertise CMS Part B claims 3
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.
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, WIPhysician 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.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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 Kellyn Doerge's NPI number?
The NPI number for Kellyn Doerge is 1831453745. It was assigned to this individual provider in the NPPES registry on June 26, 2012. The provider is also known as Ms. Kellyn J Boettcher Pa-C.
Where is Kellyn Doerge located?
Kellyn Doerge practices at 9200 West Wisconsin Ave Clinical Cancer Center 5th Floor, Milwaukee, WI 53226. The listed phone number is (414) 805-0820.
What is Kellyn Doerge's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kellyn Doerge enrolled in Medicare?
Yes. Kellyn Doerge 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 Kellyn Doerge accept?
Health plans from Anthem Blue Cross and Blue Shield list Kellyn Doerge 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 Kellyn Doerge affiliated with any hospitals?
According to CMS data, Kellyn Doerge is affiliated with Froedtert Memorial Lutheran Hospital.
When was this NPI record last updated?
The NPPES record for Kellyn Doerge was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Kellyn Jean Doerge, PA-C · NPI 1831453745
Physician Assistant physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since June 26, 2012.
## Identity
- **NPI:** 1831453745 (Entity type: Individual)
- **Enumerated:** June 26, 2012
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 2954-23 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 9200 WEST WISCONSIN AVE, CLINICAL CANCER CENTER 5TH FLOOR, Milwaukee, WI 53226-3596
- **Phone:** (414) 805-0820 · **Fax:** (414) 805-0988
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 10, 2014
- **Other identifiers:** Medicaid 1831453745 (WI); Medicare UPIN 730200006 (WI); Medicare PIN K400092534 (WI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1831453745) · Data from the CMS NPPES public registry.