Kendra E Hesebeck, PA
Individual provider Active NPI Physician Assistant · Burlington, WI
NPI 1124542535 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1124542535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 4104 (WI)
- Practice address
- 709 Spring Valley Rd
Burlington, WI 53105-7614 - Phone
- (262) 434-5000
- NPI assigned
- Jul 27, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Wisconsin School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aurora Medical Group, Inc.
Practice addresses (Care Compare)
1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056
248 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-8000
252 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-7000
36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-5000
709 Spring Valley Rd
Burlington, WI 53105-7614
Phone (262) 767-6020
Hospital & facility affiliations
- Aurora Memorial Hospital Burlington
- Aurora Medical Center - Summit
- Aurora Lakeland Medical Center
- West Allis Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170816000093 | WI | Practitioner - Physician Assistant | 4981976610 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
709 Spring Valley Rd
Burlington, WI 53105
Phone (262) 767-6020
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000
Interoperability endpoints
- kjeffers177182@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4104 | WI | Yes |
Addresses
Primary practice location
709 Spring Valley Rd
Burlington, WI 53105-7614
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100069467 | Medicaid | WI |
Other names
- Kendra E Jeffers
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kjeffers177182@direct.myadvocateaurora.org | ||
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Burlington, WI
- Amanda Jo Hartman
- Paul P Heideman
- Sarah Heindl
- Kelly A. Hensler
- Aminda Hernandez
- Theresa Hewitt
- Christopher James Hickson
- High Point Assisted Living, LLC
- Xin Lin Hill
- Hilltop Homes LLC
All providers in Burlington, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.