Kailey Mae Klimek – Physician Assistant

Key facts

NPI: 1679312136
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
Practice address: N1445 Behnke School Rd
Coleman, WI 54112
Phone: (715) 923-9082
NPI assigned: May 23, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Emergency Medicine Specialists, S.C. Emergency Medicine Physician · Milwaukee, WI · NPI 1568413524

Medicare reassignment Care Compare group WI

Hospital & facility affiliations 2

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

Ascension NE Wisconsin, Inc Ambulatory Surgical Clinic/Center · Menasha, WI · NPI 1124075536

Care Compare affiliation Hospital
Ascension NE Wisconsin, Inc General Acute Care Hospital · Appleton, WI · NPI 1407803638

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2024
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Emergency Medicine Specialists SC (220 clinicians)

Practice addresses (Care Compare)

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000

1855 S Koeller St
Oshkosh, WI 54902-6186
Phone (920) 223-7000

3329 N Richard St
Appleton, WI 54911-1063
Phone (920) 380-2715

5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000

Hospital & facility affiliations

Ascension NE Wisconsin - St Elizabeth Campus Hospital · Appleton, WI · CCN 520009

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WI
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240823003094	WI	Practitioner - Physician Assistant	8325587108	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X			Yes

Addresses

Primary practice location

N1445 Behnke School Rd
Coleman, WI 54112

Mailing address

N1445 Behnke School Rd
Coleman, WI 54112
Phone (715) 923-9082

Other providers in Coleman, WI

All providers in Coleman, WI · Physician Assistant in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.