Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740965326 Individual Practitioner Female Practitioner

Taylor Kellam

Physician Assistant • Green Bay, WI

Professional Overview & Biography Verified Profile Summary

Taylor Kellam is a certified Physician Assistant practicing in Green Bay, WI. With approximately 1 years of clinical experience since completing medical education in 2025, Taylor Kellam delivers high-quality medical care to the local community at 835 S VAN BUREN ST.

Taylor Kellam does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

835 S Van Buren St

Green Bay, WI 543013526

Telephone 9204330111
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Green Bay, WI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -10.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
183 Specialists

Practicing in Green Bay, WI (3517 Statewide)

Telehealth Adoption Rate
4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kellam (1 Years) 1 Yrs
Green Bay Specialty Average (11.2 Years) 11.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-02-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 8441-23

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.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License WI 8441-23

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Tony Busse , PT

Physical Therapist

NPI 1023295870

Physical Therapist

Martha Kralovec , PA

Physician Assistant

NPI 1033121348

Physician Assistant

NPI 1033272208

Doctor of Medicine (M.D.)

Karen Kini , PT

Physical Therapist

NPI 1053412148

Physical Therapist

Jane Charnetski , FNP

Nurse Practitioner

NPI 1053423392

Family Nurse Practitioner

Lisa Piontek , MSN APNP NNP-BC

Nurse Practitioner - Neonatal

NPI 1063762755

MSNAPNPNNPBC

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2026

Physician Assistant (License #8441-23 in WI)

📍
Updated Practice Location October 03, 2025

Registered at 835 S VAN BUREN ST, GREEN BAY, WI 543013526 (Tel: 9204330111)

📍
Updated Business Mailing Address October 03, 2025

Registered at 835 S VAN BUREN ST, GREEN BAY, WI 543013526 (Tel: 9204330111)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2025

Emergency Medicine (License #8441-23 in WI)

NPI Profile Active June 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2023

Registered at 2302 UNIVERSITY AVE APT 342, MADISON, WI 537263888 (Tel: 9206152330)

📍
Updated Business Mailing Address June 20, 2023

Registered at 2302 UNIVERSITY AVE APT 342, MADISON, WI 537263888 (Tel: 9206152330)

👤
Provider Name / Credentials Updated June 20, 2023

Recorded as TAYLOR KELLAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 20, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Taylor Kellam. Be the first to share your experience!

Sign in to leave a review for Taylor Kellam

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1740965326
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2023
Last Update: February 10, 2026
Sole Proprietor: Yes

Mailing Address

835 S Van Buren St

Green Bay, WI 543013526

Phone: 9204330111

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.