Individual provider Active NPI

Ellie Lorraine Kahle

  • Physician Assistant
  • Germantown, WI
National Provider Identifier
1750089736
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7428-23 Issued in WI
Practice address
W168N11237 Western Ave
Germantown, WI 53022-3239
Phone
(262) 253-5060
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 7428-23 WI Primary

Addresses

Primary practice location

W168N11237 Western Ave
Germantown, WI 53022-3239

Mailing address

507 N 17TH St
Milwaukee, WI 53255

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230824000826 WI Practitioner - Physician Assistant 8325401375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1700 W Paradise Dr
West Bend, WI 53095-9795
Phone (262) 334-3451

W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060

Hospital & facility affiliations

  • St Josephs Community Hospital West Bend Hospital, West Bend, WI, CCN 520063
  • Community Memorial Hospital Hospital, Menomonee Falls, WI, CCN 520103

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
73.23
Improvement activities
40
Cost
82.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical College of Wisconsin, Inc. Single Specialty Current Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Single Specialty CurrentSince Jan 10, 2025 Accepting new patients
Vituity-Wisconsin Em SC CurrentSince Feb 16, 2024 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Single Specialty CurrentSince Jan 10, 2025 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

Interoperability endpoints

  • Direct secure messaging: ekahle842799@direct.froedtert.com

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.

Hospital & facility affiliations 2

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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1750089736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N 17TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W168N11237 WESTERN AVE",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223239",
            "telephone_number": "262-253-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHLE",
        "first_name": "ELLIE",
        "middle_name": "LORRAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7428-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

Verify at the official NPI Registry.