1. Home
  2. Directory
  3. Wisconsin
  4. New Richmond
  5. Physician Assistant
  6. NPI Profile

KEVYN ALEXIS JANICEK WOLLENBERG
NPI 1851977854
Physician Assistant in New Richmond, WI

Active since March 20, 2021PECOS EnrolledAccepts Medicare Assignment
535 HOSPITAL RD, NEW RICHMOND, WI 54017(715) 243-2600 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2022, Mar 20, 2021 (2 updates tracked since 2021).

About Kevyn Alexis Janicek Wollenberg NPPES

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

KEVYN ALEXIS JANICEK WOLLENBERG (NPI 1851977854) is an individual physician assistant in New Richmond, Wisconsin, licensed in Wisconsin (5868-23) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1851977854
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKEVYN ALEXIS JANICEK WOLLENBERG
Location Address535 HOSPITAL RDNew Richmond, WI 54017-1449
Mailing Address1330 214th AveNew Richmond, WI 54017-1068 · (440) 785-4701
Phone(715) 243-2600
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 20, 2021
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
✔ NPI 1851977854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 5868-23
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
535 HOSPITAL RD, New Richmond, WI 54017
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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

Kevyn Alexis Janicek Wollenberg 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 ID2860868981
PECOS Enrollment IDI20221014001164
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 3

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Westfields Hospital And Clinic

Critical Access Hospitals · New Richmond, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521345
Location535 Hospital RdNew Richmond, WI 54017 · St. Croix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54017 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.

ANDREW DAHL
Family Medicine
535 HOSPITAL RD
NEW RICHMOND, WI 54017
St. Croix County (715) 243-3400
GWEN PEARSON HOP MPT
Physical Therapist
535 HOSPITAL RD
NEW RICHMOND, WI 54017
St. Croix County (715) 243-7255
WESTFIELDS HOSPITAL & CLINIC
Non-Pharmacy Dispensing Site
535 HOSPITAL RD
NEW RICHMOND, WI 54017
St. Croix County (715) 243-2600
KINDRA RAE WITTHUS OTR/L
Occupational Therapist
535 HOSPITAL RD
NEW RICHMOND, WI 54017
St. Croix County (715) 243-2760
ERIN PLACE OTR, DPT
Occupational Therapist
535 HOSPITAL RD
NEW RICHMOND, WI 54017
St. Croix County (715) 243-2760
JOSEPH STEPHEN RENIER
Family Medicine
535 HOSPITAL RD
NEW RICHMOND, WI 54017
St. Croix County (715) 243-2600
FOREFRONT DERMATOLOGY, S.C.
Dermatology
535 HOSPITAL RD, C/O NEW RICHMOND SPECIALTY CLINIC
NEW RICHMOND, WI 54017
St. Croix County (715) 246-4624
KATHERINE ELLIS PT
Physical Therapist
535 HOSPITAL RD
NEW RICHMOND, WI 54017
St. Croix County (715) 243-2600

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 Kevyn Wollenberg's NPI number?

The NPI number for Kevyn Wollenberg is 1851977854. It was assigned to this individual provider in the NPPES registry on March 20, 2021.

Where is Kevyn Wollenberg located?

Kevyn Wollenberg practices at 535 Hospital Rd, New Richmond, WI 54017. The listed phone number is (715) 243-2600.

What is Kevyn Wollenberg's specialty?

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

Is Kevyn Wollenberg enrolled in Medicare?

Yes. Kevyn Wollenberg 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 Kevyn Wollenberg accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Kevyn Wollenberg 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 Kevyn Wollenberg affiliated with any hospitals?

According to CMS data, Kevyn Wollenberg is affiliated with Lakeview Memorial Hospital, Regions Hospital and Westfields Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Kevyn Wollenberg was last updated on August 19, 2022. 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.