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Active NPI 1033465679 Individual Practitioner Female Practitioner

Kirsten D Pethan , PA-C

Physician Assistant • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Kirsten Pethan, PA-C is a registered healthcare professional specializing in Physician Assistant in Appleton, WI. Practice services are available at 145 W CALUMET ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

145 W Calumet St

Appleton, WI 549154934

Telephone 9209674141
Fax 8339721585
Associated Practice Facility / Clinic
🏢 Piic Clinical Services, Pc Facility NPI 1639843121

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
108 Specialists

Practicing in Appleton, WI (3517 Statewide)

Telehealth Adoption Rate
6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
41 41 $244.10 $72.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
35 35 $361.85 $104.80
36415 Insertion of needle into vein for collection of blood sample
15 15 $16.05 $2.96

Medical Specialties & State Licenses

CMS Verified: 2025-11-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 5206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MN 11202

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Katherine Erstad , NP

Nurse Practitioner

NPI 1497033609

Nurse Practitioner

Teresa Gajewski , PA

Physician Assistant

NPI 1508142001

Physician Assistant

Dr. Anne Jordan , MD

Family Medicine

NPI 1689088825

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location November 05, 2025

Registered at 145 W CALUMET ST, APPLETON, WI 549154934 (Tel: 9209674141)

📍
Updated Business Mailing Address November 05, 2025

Registered at 145 W CALUMET ST, APPLETON, WI 549154934

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2025

Physician Assistant (License #5206 in WI)

📍
Updated Practice Location September 29, 2022

Registered at 3925 N GATEWAY DR, APPLETON, WI 549137863 (Tel: 9208306877)

📍
Updated Business Mailing Address September 29, 2022

Registered at 3 NEENAH CTR, NEENAH, WI 549563070

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2021

Physician Assistant (License #11202 in MN)

📍
Updated Business Mailing Address December 01, 2020

Registered at 2500 E CAPITOL DR, APPLETON, WI 549118735 (Tel: 9208306877)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2020

Physician Assistant (License #5206 in WI)

NPI Profile Active November 15, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2012

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍
Updated Business Mailing Address November 15, 2012

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

👤
Provider Name / Credentials Updated November 15, 2012

Recorded as KIRSTEN PETHAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2012

Physician Assistant (License #11202 in MN)

🟢
Initial NPI Registration & Enumeration August 01, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033465679
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2012
Last Update: November 05, 2025
Sole Proprietor: No

Mailing Address

145 W Calumet St

Appleton, WI 549154934

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.