Individual provider Active NPI

Kelly Rae Toijala, PA

  • Medical Physician Assistant
  • Fort Atkinson, WI
National Provider Identifier
1013171727
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2304 Issued in WI
Practice address
1620 Mehta LN
Fort Atkinson, WI 53538-9178
Phone
(920) 563-5544
Fax
(920) 563-8884
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2304 WI Primary

Addresses

Primary practice location

1620 Mehta LN
Fort Atkinson, WI 53538-9178

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other identifiers 1

IdentifierTypeStateIssuer
43023800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080818000268 WI Practitioner - Physician Assistant 1254406804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

601 Handeyside LN
Fort Atkinson, WI 53538-1273
Phone (920) 563-5544

7974 Uw Health CT
Middleton, WI 53562-5531

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2304WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince May 8, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince May 8, 2023 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jul 14, 2008 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

705 S University Ave
Ste 200
Beaver Dam, WI 53916
Phone (920) 887-9272

4590 County Road N
Cottage Grove, WI 53527
Phone (608) 839-2104

1620 Mehta Ln
Fort Atkinson, WI 53538
Phone (920) 563-5544

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

2402 Winnebago St
Madison, WI 53704
Phone (608) 242-6840

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1013171727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MEHTA LN",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535389178",
            "telephone_number": "920-563-5544",
            "fax_number": "920-563-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOIJALA",
        "first_name": "KELLY",
        "middle_name": "RAE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "2304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43023800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

Verify at the official NPI Registry.