Annalise M Mathisen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4758-23 Issued in WI

Practice address

1716 Lawrence Dr Ste 103
De Pere, WI 54115-9108

Phone

(920) 632-6800

Fax

(920) 632-6806

NPI assigned

Jul 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Annalise M Kelsey Former name

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Alleviate Pain and Spine, SCGroup PAC ID 9436670916, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aurora Medical Ctr Oshkosh Hospital, Oshkosh, WI, CCN 520198

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akelsey323046@direct.myadvocateaurora.org

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

• Alleviate Pain and Spine, SC

  • Pain Medicine (Anesthesiology) Physician
  • De Pere, WI
  • NPI 1962217521
  Medicare reassignment Care Compare group
• Aurora Medical Group, Inc.

  • Certified Registered Nurse Anesthetist
  • Milwaukee, WI
  • NPI 1427271378
  Medicare reassignment Care Compare group
• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oshkosh, WI
  • NPI 1326858044
  NPD
• Aurora Medical Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1659599157
  NPD
• Vital Anesthesia Associates SC

  • Anesthesiology Physician
  • Neenah, WI
  • NPI 1578422275
  NPD (past)

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

• Aurora Medical Center of Oshkosh, Inc

  • General Acute Care Hospital
  • Oshkosh, WI
  • NPI 1275578064
  Care Compare affiliation

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1497309884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 LAWRENCE DR STE 103",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159108",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 LAWRENCE DR STE 103",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159108",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "614 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Chilton",
            "state": "WI",
            "postal_code": "530141568",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549151846",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1506 S Oneida St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549151305",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 W 9th Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549047865",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S Oakwood Rd",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549047944",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 Lyon Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549565037",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "451 E Brooklyn St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chilton",
            "state": "WI",
            "postal_code": "530141595",
            "country_code": "US",
            "telephone_number": "920-632-6800",
            "fax_number": "920-632-6806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHISEN",
        "first_name": "ANNALISE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4758-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100093072",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNALISE",
            "last_name": "KELSEY",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Sue Marquardt, RDH
• Kiley Martin, LPC
• Amy Martzahl
• Kirsten Lynne Masrelian, BCBA
• Kate Mathews
• Elizabeth Rachel Mathu, APNP
• Justin Michael Mattern, PHARM.D.
• Margaret R Mattice, MSN, APNP-BC
• Matzke Chiropractic LLC
• Thomas Matzke, D.C.

• Physician Assistant in De Pere, WI
• Providers in De Pere, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.