Kirsten J Antonneau, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1981-23 Issued in WI

Practice address

1300 S Green Bay Rd Ste 100
Mount Pleasant, WI 53406-4469

Phone

(262) 619-4191

Fax

(262) 634-5185

NPI assigned

Nov 20, 2006

Last updated

Jul 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kirsten Gleiss Other name

Electronic endpoints 3

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kirsten.antonneau@forefrontdermatology.emadirect.md

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Appleton, WI
  • NPI 1083768253
  Medicare reassignment Care Compare group
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Mount Pleasant, WI
  • NPI 1083981906
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)
• Ganz Allergy & Asthma Center SC

  • Allergy Physician
  • Racine, WI
  • NPI 1013090901
  NPD (past)
• Great Lakes Dermatology

  • Procedural Dermatology Physician
  • Racine, WI
  • NPI 1689757569
  NPD (past)

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

• Ascension All Saints Hospital, Inc

  dba Ascension All Saints Hospital

  • General Acute Care Hospital
  • Racine, WI
  • NPI 1639123284
  Care Compare affiliation

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1467526400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S GREEN BAY RD STE 100",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064469",
            "telephone_number": "262-619-4191",
            "fax_number": "262-634-5185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 S Howell Ave Ste 900",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531541408",
            "country_code": "US",
            "telephone_number": "262-898-4400",
            "fax_number": "414-435-3406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 N Mayfair Rd Ste 810",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532261328",
            "country_code": "US",
            "telephone_number": "414-771-1122",
            "fax_number": "414-771-1352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONNEAU",
        "first_name": "KIRSTEN",
        "middle_name": "J",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "1981",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1981-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kirsten.Antonneau@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1300 S Green Bay Rd Ste 100",
            "city": "Mount Pleasant",
            "state": "WI",
            "country_code": "US",
            "postal_code": "534064469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kirsten.Antonneau@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2600 N Mayfair Rd Ste 810",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532261328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kirsten.Antonneau@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "7001 S Howell Ave Ste 900",
            "city": "Oak Creek",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531541408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "GLEISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew Anderson, DPT
• Julie Andreoli
• Ireland Andrews, LCSW
• Stephanie Antes, APNP
• Corinne Marcia Anthony-Manswell, NP
• Carl Antony, ATC, LAT
• Michelle Antosiewicz
• Jyron Aparri, DPT
• Kimberly Lynn Arbinger, PT
• Britta Arends

• Physician Assistant in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.