Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538169214 Individual Practitioner Male Practitioner

Stephen G Kennebeck , PA-C

Physician Assistant • Oshkosh, WI

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Stephen Kennebeck, PA-C is a registered healthcare professional specializing in Physician Assistant in Oshkosh, WI. Official NPI practice address is registered at 855 N WESTHAVEN DR.

Practice Location & Contact Primary Location

Practice Address

855 N Westhaven Dr

Oshkosh, WI 549047668

Telephone 9203038700
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Oshkosh, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
43 Specialists

Practicing in Oshkosh, WI (3517 Statewide)

Telehealth Adoption Rate
9.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-11-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 1043

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
42973600 (WI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jacqueline Ots , PENDING

Nurse Practitioner

NPI 1003456823
Leah Fynaardt

Physician Assistant

NPI 1003702689
Dr. Zahid Dar , MD

Internal Medicine - Hematology & Oncology

NPI 1003850645

Doctor of Medicine (M.D.)

Xing Kong , NP

Nurse Practitioner

NPI 1003896093

Nurse Practitioner

Michele Osborne , CRNA-MNA

Nurse Anesthetist, Certified Registered

NPI 1013024496

CRNAMNA

Erin Lamers , PT

Physical Therapist

NPI 1013229301

Physical Therapist

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2018

Registered at 855 N WESTHAVEN DR, OSHKOSH, WI 549047668 (Tel: 9203038700)

📍
Updated Business Mailing Address January 16, 2018

Registered at 855 N WESTHAVEN DR, OSHKOSH, WI 549047668 (Tel: 9203038786)

👤
Provider Name / Credentials Updated January 16, 2018

Recorded as STEPHEN KENNEBECK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2018

Physician Assistant (License #1043 in WI)

NPI Profile Active September 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2012

Registered at 855 N WESTHAVEN DR, OSHKOSH, WI 549047668 (Tel: 9203038700)

📍
Updated Business Mailing Address September 12, 2012

Registered at 855 N WESTHAVEN DR, OSHKOSH, WI 549047668 (Tel: 9203038786)

👤
Provider Name / Credentials Updated September 12, 2012

Recorded as STEPHEN KENNEBECK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2012

Family Medicine (License #1043023 in WI)

🟢
Initial NPI Registration & Enumeration July 26, 2005

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: 1538169214
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2005
Last Update: November 26, 2021
Sole Proprietor: No

Mailing Address

855 N Westhaven Dr

Oshkosh, WI 549047668

Phone: 9203038786

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.