Individual provider Active NPI

Kelsey Hopping, PA-C

  • Physician Assistant
  • Oak Creek, WI
National Provider Identifier
1033595244
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3620-23 Issued in WI
Practice address
500 W Drexel Ave Ste 300
Oak Creek, WI 53154-2060
Phone
(414) 771-6780
Fax
(414) 238-2424
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3620-23 WI Primary

Addresses

Primary practice location

500 W Drexel Ave Ste 300
Oak Creek, WI 53154-2060

Mailing address

10001 W Innovation Dr Ste 200
Wauwatosa, WI 53226-4851
Phone (414) 771-6780

Other practice location 1

2885 N Mayfair Rd
Milwaukee, WI 53222-4404
Phone (414) 771-6780

Other names 1

  • Kelsey Kerwin Former name

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
I20160126002017 WI Practitioner - Physician Assistant 7911200837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10610 N Port Washington Rd
Mequon, WI 53092-5013
Phone (888) 938-3838

247 S Nicolet Rd
Appleton, WI 54914-3938
Phone (888) 938-3838

2885 N Mayfair Rd
Milwaukee, WI 53222-4404
Phone (888) 938-3838

4781 Hayes Rd
Suite 101
Madison, WI 53704-7343
Phone (888) 938-3838

500 W Drexel Ave
Suite 300
Oak Creek, WI 53154-2060
Phone (888) 938-3838

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ear Nose & Throat Specialists, SC CurrentSince Dec 26, 2015 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

247 S Nicolet Rd
Appleton, WI 54914

2654 S Oneida St
Stop 102
Green Bay, WI 54304

8500 75th St
Ste 101
Kenosha, WI 53142
Phone (262) 653-2260

4781 Hayes Rd
Ste 101
Madison, WI 53704

10610 N Port Washington Rd
Mequon, WI 53092
Phone (262) 923-7879

500 W Drexel Ave
Ste 300
Oak Creek, WI 53154

10001 W Innovation Dr
Ste 200
Wauwatosa, WI 53226

2885 N Mayfair Rd
Wauwatosa, WI 53222
Phone (414) 615-7044

Interoperability endpoints

  • Direct secure messaging: khopping@advent.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1033595244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "414-771-6780",
            "fax_number": "414-238-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W DREXEL AVE STE 300",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542060",
            "telephone_number": "414-771-6780",
            "fax_number": "414-238-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2885 N Mayfair Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532224404",
            "country_code": "US",
            "telephone_number": "414-771-6780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPPING",
        "first_name": "KELSEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3620-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "KERWIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Creek, WI

Sources for this page

Verify at the official NPI Registry.