KELSEY KANNENBERG PA-C
NPI 1881076669
Physician Assistant in Milwaukee, WI

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment
2901 W KINNICKINNIC RIVER PKWY, STE 511, MILWAUKEE, WI 53215(414) 649-3780 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2024, Dec 2, 2021, Aug 2, 2021 (3 updates tracked since 2021).

About Kelsey Kannenberg Pa-c NPPES

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

KELSEY KANNENBERG PA-C (NPI 1881076669) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (3594-23) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2015).

NPPES Registry Identity

NPI1881076669
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY KANNENBERGCredential: PA-C
Location Address2901 W KINNICKINNIC RIVER PKWY, STE 511Milwaukee, WI 53215-3677
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2015
Enumeration DateJune 29, 2015
Last NPPES UpdateAugust 12, 20243 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1881076669 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 · 3594-23
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.
2901 W KINNICKINNIC RIVER PKWY, Milwaukee, WI 53215

Other Names 1

Former Name (1)Kelsey Kasmerchak Pa

Other Identifiers 1

Medicaid100046786WI

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

Kelsey Kannenberg 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 ID9537473863
PECOS Enrollment IDI20150730013870
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.

Areas of Expertise CMS Part B claims 2

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.

Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
16 services16 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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.

Nurse Practitioner
2901 W KINNICKINNIC RIVER PKWY, 305
MILWAUKEE, WI 53215
Nurse Practitioner
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Physical Therapist
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Nurse Practitioner
2901 W KINNICKINNIC RIVER PKWY, SUITE 106
MILWAUKEE, WI 53215
Physical Medicine & Rehabilitation
2901 W KINNICKINNIC RIVER PKWY, SUITE: 106
MILWAUKEE, WI 53215
Specialist (Research Study)
2901 W KINNICKINNIC RIVER PKWY, SUITE 414
MILWAUKEE, WI 53215
Physical Medicine & Rehabilitation
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Physician Assistant
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215

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 Kannenberg's NPI number?

The NPI number for Kelsey Kannenberg is 1881076669. It was assigned to this individual provider in the NPPES registry on June 29, 2015. The provider is also known as Kelsey Kasmerchak PA.

Where is Kelsey Kannenberg located?

Kelsey Kannenberg practices at 2901 W Kinnickinnic River Pkwy Ste 511, Milwaukee, WI 53215. The listed phone number is (414) 649-3780.

What is Kelsey Kannenberg's specialty?

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

Is Kelsey Kannenberg enrolled in Medicare?

Yes. Kelsey Kannenberg 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 Kelsey Kannenberg accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Kelsey Kannenberg 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 Kelsey Kannenberg affiliated with any hospitals?

According to CMS data, Kelsey Kannenberg is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Kelsey Kannenberg was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.