Alicia S Kelch, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2367-023 Issued in WI

Practice address

W156N9000 Pilgrim Rd
Menomonee Falls, WI 53051

Phone

(262) 502-8752

Fax

(262) 502-8756

NPI assigned

Oct 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Ms. Alicia S Vespignani Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Rem Occupational Health & Wellness Inc

  • Medical Physician Assistant
  • Brookfield, WI
  • NPI 1073123758
  NPD Authorized official
• Premise Health of Connecticut Medical, P.C.

  • Occupational Medicine Clinic/Center
  • Menomonee Falls, WI
  • NPI 1770868135
  NPD (past)

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1942452289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16505 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W156N9000 PILGRIM RD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "53051",
            "telephone_number": "262-502-8752",
            "fax_number": "262-502-8756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16505 W. National Avene",
            "address_purpose": "LOCATION",
            "city": "New Berlin",
            "state": "WI",
            "postal_code": "53151",
            "country_code": "US",
            "telephone_number": "262-641-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 S Emmber Ln",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532332639",
            "country_code": "US",
            "telephone_number": "414-978-6603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 N 132nd St",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "WI",
            "postal_code": "530071603",
            "country_code": "US",
            "telephone_number": "262-957-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELCH",
        "first_name": "ALICIA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "2367-23",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "236723",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052264",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "2367-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942452289",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1942452289",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "VESPIGNANI",
            "middle_name": "S",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jesse Kasim, MD
• Laura Kasper
• Japleen Kaur, RN
• Robert M. Kauth, D.D.S.
• Danielle Kedroske, APNP
• Matthew B Kells
• Tara Kennedy, M.D.
• Peter Kenny, PHD
• Thomas Alan Kent, MSW
• Kelly Jo Ketterhagen, MSOTR

• Medical Physician Assistant in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.