NPIMap

Individual provider Active NPI

Katie Jane Balderas, PA-C

  • Physician Assistant
  • Milwaukee, WI
National Provider Identifier
1497184279
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3253-23 Issued in WI
Practice address
2801 W Kinnickinnic River Pkwy Ste 1080
Milwaukee, WI 53215-3689
Phone
(414) 908-6506
Fax
(414) 908-6510
NPI assigned
Nov 2, 2013
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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 3253-23 WI Primary

Addresses

Primary practice location

2801 W Kinnickinnic River Pkwy Ste 1080
Milwaukee, WI 53215-3689

Mailing address

1033 N Mayfair Rd Ste 101
Wauwatosa, WI 53226-3442
Phone (414) 454-0600

Other names 1

  • Katie Jane Schloesser Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131224000096 WI Practitioner - Physician Assistant 9032346853 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Gastroenterology Specialists SCGroup PAC ID 3375626195, 29 clinicians
Gi Associates LLCGroup PAC ID 6103738562, 55 clinicians
Milwaukee Gi Specialists SCGroup PAC ID 8123930542, 15 clinicians

Practice addresses (Care Compare)

1033 N Mayfair Rd
Wauwatosa, WI 53226-3442
Phone (414) 454-0600

1111 Delafield St
Waukesha, WI 53188-3407
Phone (414) 454-0600

19333 W N Ave
Brookfield, WI 53045-4132
Phone (414) 454-0600

240 Maple Ave
Mukwonago, WI 53149-8475

2801 W Kinnickinnic River Pkwy
Suite 1080
Milwaukee, WI 53215-3689
Phone (414) 908-6500

725 American Ave
Waukesha, WI 53188-5031
Phone (262) 928-1000

791 Summit Ave
Oconomowoc, WI 53066-3844
Phone (262) 569-9400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.73 of 100Reported as group
Quality
58.78
Promoting interoperability
95
Improvement activities
40
Cost
88.4

National Provider Directory

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1497184279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 N MAYFAIR RD STE 101",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263442",
            "telephone_number": "414-454-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY STE 1080",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153689",
            "telephone_number": "414-908-6506",
            "fax_number": "414-908-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERAS",
        "first_name": "KATIE",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3253-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "SCHLOESSER",
            "middle_name": "JANE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.