Individual provider Active NPI

Katelyn A Behring, PA-C

  • Physician Assistant
  • Milwaukee, WI
National Provider Identifier
1902239403
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3202-23 Issued in WI
Practice address
2350 N Lake Dr
Suite 100
Milwaukee, WI 53211-4528
Phone
(414) 298-7250
Fax
(414) 298-7251
NPI assigned
Aug 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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 085-009873 IL
Physician Assistant 363A00000X 3202-23 WI Primary

Addresses

Primary practice location

2350 N Lake Dr
Suite 100
Milwaukee, WI 53211-4528

Mailing address

4425 N Port Washington Rd
Csmcp Clinic Credentialing
Glendale, WI 53212-1082
Phone (414) 298-7250

Other practice location 1

9555 S 52nd Ave
Oak Lawn, IL 60453-3054
Phone (708) 634-0950

Other identifiers 1

IdentifierTypeStateIssuer
100032358MedicaidWI

Other names 1

  • Katelyn Hoylman Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address kbehring305906@direct.myadvocateaurora.org Direct
Direct Messaging Address kbehring305906@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 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
I20130919000248 WI Practitioner - Physician Assistant 6103060892 Reassigns benefits to 3 organizations
I20230901000896 IL Practitioner - Physician Assistant 6103060892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians

Practice addresses (Care Compare)

1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056

1357 W 103Rd St
Adv Med GRP Evergreen
Chicago, IL 60643-2392
Phone (773) 238-0800

1441 Branding Ave
Downers Grove, IL 60515-5624
Phone (630) 829-1084

14555 W National Ave
195B
New Berlin, WI 53151-4494
Phone (262) 827-3290

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100

7878 N 76TH St
Milwaukee, WI 53223-3914
Phone (414) 354-6434

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085-009873ILMDPhysician Assistant
3202-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health & Hospitals Corporation CurrentSince Jul 29, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 29, 2023 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Jun 28, 2021 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Jun 28, 2021 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

9555 S 52nd Ave
Oak Lawn, IL 60453
Phone (708) 422-5700

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

2350 N Lake Dr
Ste 100
Milwaukee, WI 53211
Phone (414) 298-7250

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

Organizations & group practices 8

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1902239403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 N PORT WASHINGTON RD",
            "address_2": "CSMCP CLINIC CREDENTIALING",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121082",
            "telephone_number": "414-298-7250",
            "fax_number": "414-298-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 N LAKE DR",
            "address_2": "SUITE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114528",
            "telephone_number": "414-298-7250",
            "fax_number": "414-298-7251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9555 S 52nd Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604533054",
            "country_code": "US",
            "telephone_number": "708-634-0950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHRING",
        "first_name": "KATELYN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-009873",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3202-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100032358",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2350 N Lake Dr",
            "address_2": "Suite 100",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532114528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbehring305906@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2350 N Lake Dr",
            "address_2": "Suite 100",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532114528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbehring305906@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9555 S 52nd Ave",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604533054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "HOYLMAN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.