Kathleen Anne Knipfer, P.A. C.
Individual provider Active NPI Physician Assistant · Cottage Grove, WI
NPI 1154586717 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1154586717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2313-023 (WI)
- Practice address
- 251 E Cottage Grove Rd
Cottage Grove, WI 53527-9619 - Phone
- (608) 839-3515
- Fax
- (608) 839-3541
- NPI assigned
- Jul 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wildwood Family Clinic SC
Practice addresses (Care Compare)
4901 Cottage Grove Rd
Madison, WI 53716-1392
Phone (608) 221-1501
Hospital & facility affiliations
- SSM Health St Mary'S Hospital - Madison
- University of Wi Hospitals & Clinics Authority
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 |
|---|---|---|---|---|
| I20081007000146 | WI | Practitioner - Physician Assistant | 4981772761 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2313-023 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Associates of Green Bay, S.C. | Past | Accepting new patients | |
| Watertown Physician Practices LLC | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- kknipfer261034@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2313-023 | WI | Yes |
Addresses
Primary practice location
251 E Cottage Grove Rd
Cottage Grove, WI 53527-9619
Mailing address
251 E Cottage Grove Rd
Cottage Grove, WI 53527-9619
Phone (608) 839-3515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154586717 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kknipfer261034@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https//fhir.ssmhc.com/fhir/api/FHIR/DSTU2 | Other |
Other providers in Cottage Grove, WI
- Michelet Jean-Charles
- Emily Jones
- Megan Sue Kaddatz
- Susan Kees Johnson
- Jason C Kindschi
- Kayla Dawn Koch
- Dylan Steven Ledford
- Melanie Leistikow
- Joann Long
- Kate A Louther
All providers in Cottage Grove, 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 2, 2020. 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.