Individual provider Active NPI

Kayla Elizabeth Adkins, MD

  • Plastic and Reconstructive Surgery Physician
  • Waukesha, WI
National Provider Identifier
1164927802
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
83323-20 Issued in WI
Practice address
N4W22370 Bluemound Rd
Waukesha, WI 53186-1683
Phone
(262) 970-5600
NPI assigned
Mar 26, 2018
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD483920 PA
Plastic and Reconstructive Surgery Physician 2086S0122X MD483920 PA
Plastic and Reconstructive Surgery Physician 2086S0122X 83323-20 WI Primary

Addresses

Primary practice location

N4W22370 Bluemound Rd
Waukesha, WI 53186-1683

Mailing address

N4W22370 Bluemound Rd
Waukesha, WI 53186-1683

Other practice location 1

25 Monument Rd Ste 220B
York, PA 17403-5049
Phone (717) 812-2390

Other names 1

  • Kayla Elizabeth Leibl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250226000579 PA Practitioner - Plastic and Reconstructive Surgery 4981124534 Reassigns benefits to 1 organization
I20260212001597 WI Practitioner - Plastic and Reconstructive Surgery 4981124534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Wisconsin School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CJ Hussussian MD SCGroup PAC ID 1456339993, 5 clinicians

Practice addresses (Care Compare)

N4W22370 Bluemound Rd
Suite 100
Waukesha, WI 53186-1683
Phone (262) 970-5600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD483920PAMDPlastic Surgery Physician
83323-20WIMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Apr 14, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Apr 14, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
CJ Hussussian MD SC Plastic Surgery CurrentSince Dec 31, 2025 Accepting new patients

Locations

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 220B
York, PA 17403
Phone (717) 812-2390

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

N4W22370 Bluemound Rd
Waukesha, WI 53186
Phone (262) 970-5600

N4W22370 Bluemound Rd
Ste 100
Waukesha, WI 53186
Phone (262) 547-0199

Organizations & group practices 4

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

Hospital & facility affiliations 1

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1164927802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4W22370 BLUEMOUND RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N4W22370 BLUEMOUND RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861683",
            "telephone_number": "262-970-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Monument Rd Ste 220B",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035049",
            "country_code": "US",
            "telephone_number": "717-812-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "KAYLA",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD483920",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD483920",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WI",
            "license": "83323-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "LEIBL",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.