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Active NPI 1780771261 Individual Practitioner Female Practitioner

Kelsy B Kellermann , PA

Physician Assistant • Green Bay, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelsy Kellermann, PA is a certified Physician Assistant practicing in Green Bay, WI. With approximately 20 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2006, Kelsy Kellermann delivers high-quality medical care to the local community at 1821 S WEBSTER AVE.

Kelsy Kellermann is affiliated with St Vincent Hospital-Hospital Sisters-Third Order Of St Francis and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1821 S Webster Ave

Green Bay, WI 543012253

Telephone 9204964700
Fax 9204313769
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Green Bay, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +8.8 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
59.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kellermann (20 Years) 20 Yrs
Green Bay Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
16 12 $178.25 $72.45

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 2072

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
42895200 (WI)
Commercial Insurance / Payer ID Railroad
P00373789 (WI)

Hospital & Practice Group Affiliations

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis

1020 Marquette Dr, Kewaunee, WI 542161782

Phone: 9204964700

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis

835 S Van Buren St, Green Bay, WI 543013526

Phone: 9204964700

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis

1860 Shawano Ave, Green Bay, WI 543032667

Phone: 9204964700

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis

1821 S Webster Ave, Green Bay, WI 543012253

Phone: 9204964700

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003080102

Doctor of Podiatric Medicine

NPI 1003131061

Doctor of Podiatric Medicine

Cassandra Vanstraten , LPC

Counselor - Mental Health

NPI 1003478793

Licensed Professional Counselor

Rachel Rejniak , AGPCNP-BC

Nurse Practitioner - Gerontology

NPI 1003537150

AGPCNPBC

Junhong Pace , NP

Nurse Practitioner - Family

NPI 1003597063

Nurse Practitioner

NPI 1003831314

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2015

Registered at 1821 S WEBSTER AVE, GREEN BAY, WI 543012253 (Tel: 9204964700)

📍
Updated Business Mailing Address May 15, 2015

Registered at 1821 S WEBSTER AVE, GREEN BAY, WI 543012253 (Tel: 9204964700)

👤
Provider Name / Credentials Updated May 15, 2015

Recorded as KELSY KELLERMANN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2015

Physician Assistant (License #2072 in WI)

🟢
Initial NPI Registration & Enumeration October 06, 2006

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: 1780771261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: May 15, 2015
Sole Proprietor: No

Mailing Address

1821 S Webster Ave

Green Bay, WI 543012253

Phone: 9204964700

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.