KAITLYN BRENNER PA-C
NPI 1942671201
Physician Assistant in Superior, WI

Q: What is Kaitlyn Brenner's NPI number?

The NPI number for Kaitlyn Brenner is 1942671201. It was assigned to this individual provider in the NPPES registry on October 13, 2015. The provider is also known as Kaitlyn Don Proulx.

Q: What is Kaitlyn Brenner'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 Kaitlyn Brenner was last updated on December 21, 2022. 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 October 13, 2015PECOS EnrolledAccepts Medicare Assignment

3500 TOWER AVE, SUPERIOR, WI 54880(715) 817-7100(715) 817-7039 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 21, 2022, Nov 11, 2021, Feb 3, 2017 (3 updates tracked since 2017).

On this page

About Kaitlyn Brenner Pa-c NPPES

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

KAITLYN BRENNER PA-C (NPI 1942671201) is an individual physician assistant in Superior, Wisconsin, licensed in Minnesota (2348) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Essentia Health Duluth, and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1942671201

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKAITLYN BRENNERCredential: PA-C

Location Address3500 TOWER AVESuperior, WI 54880-4491

Mailing Address1702 University Dr SFargo, ND 58103-4940 · (701) 364-4999

Phone(715) 817-7100

Fax(715) 817-7039

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 13, 2015

Last NPPES UpdateDecember 21, 20223 updates tracked since enumeration

NPPES CertifiedDecember 21, 2022

✔ NPI 1942671201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MN · 2348✔ Licensed in WI · 7142

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.

3500 TOWER AVE, Superior, WI 54880

Open in Google Maps ↗

Other Names 1

Former Name (1)Kaitlyn Don Proulx

Secondary Practice Location 1

Location 14190 Loberg AveDuluth, MN 55811-2652 · Phone (218) 249-5700 · Fax (218) 249-4666

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.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

Kaitlyn Brenner 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 ID3072823756

PECOS Enrollment IDI20151109001965, I20230202001573

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 8

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

69 services44 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

56 services26 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

37 services34 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

33 services22 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

32 services18 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

32 services16 patients

Hospital Affiliations CMS Care Compare

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

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240019

Location502 East Second StreetDuluth, MN 55805 · St. Louis County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54880 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.

MS. ERIN LEE FISKER PA-C

Physician Assistant