Individual provider Active NPI

Kayla Weber

  • Physician Assistant
  • Franklin, WI
National Provider Identifier
1679106124
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5134-23 Issued in WI
Practice address
6557 S Whitnall Edge Rd
Franklin, WI 53132-1286
Phone
(414) 688-0618
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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 5134-23 WI Primary

Addresses

Primary practice location

6557 S Whitnall Edge Rd
Franklin, WI 53132-1286

Mailing address

6557 S Whitnall Edge Rd
Franklin, WI 53132-1286
Phone (414) 688-0618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200929000892 WI Practitioner - Physician Assistant 5698194413 Reassigns benefits to 1 organization
I20211115001692 IA Practitioner - Physician Assistant 5698194413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
80.31
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

State licenses

LicenseStateTypeSpecialty
5134-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Des Moines River Physicians, LLC CurrentSince Oct 15, 2021 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Physician Assistant CurrentSince Feb 22, 2021 Accepting new patients
Des Moines River Physicians, LLC CurrentSince Oct 15, 2021 Accepting new patients
Integrated Therapeutic Massage LLC PastSince Aug 1, 2021 Accepting new patients

Locations

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1111 6th Ave
#1
Des Moines, IA 50314
Phone (515) 643-0850

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: kweber3960649@direct.trinity-health.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1679106124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6557 S WHITNALL EDGE RD",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531321286",
            "telephone_number": "414-688-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6557 S WHITNALL EDGE RD",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531321286",
            "telephone_number": "414-688-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "5134-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

Verify at the official NPI Registry.