Individual provider Active NPI

Karlee Wilgenbusch, PA

  • Medical Physician Assistant
  • Janesville, WI
National Provider Identifier
1891384848
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
7878-23 Issued in WI
Practice address
500 Midland CT
Janesville, WI 53546-2341
Phone
(608) 916-2600
NPI assigned
Jan 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61264824 WA
Medical Physician Assistant 363AM0700X 7878-23 WI Primary

Addresses

Primary practice location

500 Midland CT
Janesville, WI 53546-2341

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

11216 Sunrise Blvd E Ste 3-106
Puyallup, WA 98374-8848
Phone (253) 848-5951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, WI2 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
I20220914002329 WA Practitioner - Physician Assistant 4486061447 Reassigns benefits to 1 organization
I20250213002487 WI Practitioner - Physician Assistant 4486061447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Iowa, RJ & L Carver College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians

Practice addresses (Care Compare)

100 N Nine Mound Rd
Verona, WI 53593-1032
Phone (608) 287-2770

1121 Bellwest Blvd
Belleville, WI 53508-9433
Phone (608) 287-2770

500 Midland CT
Janesville, WI 53546-2341
Phone (608) 916-2600

601 Handeyside LN
Fort Atkinson, WI 53538-1273
Phone (920) 563-5544

7974 Uw Health CT
Middleton, WI 53562-5531

Hospital & facility affiliations

  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7878-23WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Mar 31, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Mar 31, 2025 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients
Cascade Eye & Skin Centers PC PastSince Apr 1, 2023 Accepting new patients

Locations

500 Midland Ct
Janesville, WI 53546
Phone (608) 916-2600

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

500 Midland Ct
Fl 1
Janesville, WI 53546

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Interoperability endpoints

  • Direct secure messaging: kwilgenbusch794488@direct.sw.org

Organizations & group practices 6

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 1

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": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1891384848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MIDLAND CT",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462341",
            "telephone_number": "608-916-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11216 Sunrise Blvd E Ste 3-106",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983748848",
            "country_code": "US",
            "telephone_number": "253-848-5951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILGENBUSCH",
        "first_name": "KARLEE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61264824",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "7878-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.