Individual provider Active NPI

Kaitlin Joyce Hollister, PA-C

  • Physician Assistant
  • Eau Claire, WI
National Provider Identifier
1982229019
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7055-23 Issued in WI
Practice address
3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Phone
(715) 839-9280
Fax
(715) 839-9348
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7055-23 WI Primary

Addresses

Primary practice location

3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other practice location 1

12961 27th Ave
Chippewa Falls, WI 54729-5699
Phone (715) 738-3700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address khollister319278@ewd.direct.hshs.org Direct
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

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
I20230104002569 WI Practitioner - Physician Assistant 6103296306 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

12961 27TH Ave
Chippewa Falls, WI 54729-5699
Phone (715) 738-3700

3501 Golf Rd
Eau Claire, WI 54701-8028
Phone (715) 858-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7055-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Jul 28, 2025 Accepting new patients
Oakleaf Clinics Inc CurrentSince May 29, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 28, 2025 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 28, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Jul 28, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 28, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 28, 2025 Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 28, 2025 Accepting new patients
Oakleaf Clinics Inc CurrentSince May 29, 2024 Accepting new patients
Prevea Clinic, Inc. Past Accepting new patients
Oakleaf Clinics Inc Past Accepting new patients

Locations

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

855 Lakeland Dr
Chippewa Falls, WI 54729
Phone (715) 309-4451

12961 27th Ave
Chippewa Fls, WI 54729
Phone (715) 532-2304

2403 Folsom St
Eau Claire, WI 54703

3802 Oakwood Mall Dr
Eau Claire, WI 54701
Phone (715) 831-8130

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 552-9784

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

719 W Hamilton Ave
Ste B
Eau Claire, WI 54701

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

2919 Stout Rd
Menomonie, WI 54751
Phone (715) 235-4274

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

1051 West Ave
Rice Lake, WI 54868
Phone (715) 719-0662

Interoperability endpoints

  • Direct secure messaging: khollister319278@ewd.direct.hshs.org
  • Direct secure messaging: khollister29770@oakleafmed.gardenplot.direct-ci.com

Organizations & group practices 13

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.

View all 13

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1982229019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 OAKWOOD MALL DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013016",
            "telephone_number": "715-839-9280",
            "fax_number": "715-839-9348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12961 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547295699",
            "country_code": "US",
            "telephone_number": "715-738-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLISTER",
        "first_name": "KAITLIN",
        "middle_name": "JOYCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7055-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khollister319278@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2509 County Highway I",
            "city": "Chippewa Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547292785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "12961 27th Ave",
            "city": "Chippewa Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547295699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.