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MRS. KATHRYN DIANE TAILLIE PA-C
NPI 1982146213
Physician Assistant in Wauwatcsa, WI

Active since November 17, 2016PECOS Enrolled
2885 N MAYFAIR RD, WAUWATCSA, WI 53222(414) 771-6780(414) 238-2424 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2021, Dec 21, 2018, Mar 23, 2017 and 1 more (4 updates tracked since 2016).

About Mrs. Kathryn Diane Taillie Pa-c NPPES

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

MRS. KATHRYN DIANE TAILLIE PA-C (NPI 1982146213) is an individual physician assistant in Wauwatcsa, Wisconsin, licensed in Illinois (085.006036) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982146213
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KATHRYN DIANE TAILLIECredential: PA-C
Location Address2885 N MAYFAIR RDWauwatcsa, WI 53222-4404
Mailing Address10001 W Innovation Dr Ste 200Milwaukee, WI 53226-4851 · (414) 771-6780 · Fax (414) 238-2424
Phone(414) 771-6780
Fax(414) 238-2424
Sole ProprietorNo
Enumeration DateNovember 17, 2016
Last NPPES UpdateApril 6, 20214 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1982146213 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 IL · 085.006036
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.
2885 N MAYFAIR RD, Wauwatcsa, WI 53222
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Other Names 1

Former Name (1)Kathryn D Dempsey Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kathryn Diane Taillie Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53222 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers17 claims17 services$30.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HILLARY LEE HINKSON PA-C
Physician Assistant
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Milwaukee County (414) 771-6780
GADEER AYESH PA-C
Physician Assistant
2885 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (888) 938-3838
RUBEN D APGAR DNP, APNP
Nurse Practitioner
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Milwaukee County (888) 938-3838
MELISSA L CHUDNOW M.D.
Allergy & Immunology
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Milwaukee County (414) 771-6780
MEGAN HANSON APNP
Nurse Practitioner
2885 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (888) 938-3838
ADVENT DME LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2885 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (414) 615-7044
DR. MADAN N KANDULA M.D.
Otolaryngology
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Milwaukee County (414) 771-6780
ELLYN M SZEWCZYK AU.D.
Audiologist
2885 N MAYFAIR RD
MILWAUKEE, WI 53222
Milwaukee County (414) 771-6780

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 Kathryn Taillie's NPI number?

The NPI number for Kathryn Taillie is 1982146213. It was assigned to this individual provider in the NPPES registry on November 17, 2016. The provider is also known as Kathryn D Dempsey Pa-C.

Where is Kathryn Taillie located?

Kathryn Taillie practices at 2885 N Mayfair Rd, Wauwatcsa, WI 53222. The listed phone number is (414) 771-6780.

What is Kathryn Taillie's specialty?

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

Is Kathryn Taillie enrolled in Medicare?

Yes. Kathryn Taillie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Taillie was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.