Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891974218 Individual Practitioner Male Practitioner

Adam Christopher Kelly , PA

Physician Assistant • Summit, WI

Professional Overview & Biography Verified Profile Summary

Adam Kelly, PA is a registered healthcare professional specializing in Physician Assistant in Summit, WI. Practice services are available at 36500 AURORA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

36500 Aurora Dr
Department Of Pediatrics- Neonatal Icu

Summit, WI 530664899

Telephone 2624344900
Fax 2624344901
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Summit, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Summit, WI (3517 Statewide)

Telehealth Adoption Rate
18.2% 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: 2024-10-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 2363-23

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100011852 (WI)
Commercial Insurance / Payer ID Wisconsin License
2363-23 (WI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Bijan Nezami

Internal Medicine - Critical Care Medicine

NPI 1003201625
NPI 1003851825

Doctor of Medicine (M.D.)

Kody Lewis , PA-C

Physician Assistant

NPI 1013144393

Physician Assistant (Certified)

Dr. Rebecca Striet , MD

Preventive Medicine - Undersea and Hyperbaric Medicine

NPI 1023080603

Doctor of Medicine (M.D.)

NPI 1023294659

Doctor of Physical Therapy, ATCL

Dr. Vijay Johnson , MD

Internal Medicine - Critical Care Medicine

NPI 1023298072

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address October 14, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

NPI Profile Active August 07, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2010

Registered at 36500 AURORA DR, DEPARTMENT OF PEDIATRICS- NEONATAL ICU, SUMMIT, WI 530664899 (Tel: 2624344900)

📍
Updated Business Mailing Address August 07, 2010

Registered at 36500 AURORA DR, DEPARTMENT OF PEDIATRICS- NICU, SUMMIT, WI 530664899 (Tel: 2624344900)

👤
Provider Name / Credentials Updated August 07, 2010

Recorded as ADAM KELLY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2010

Physician Assistant (License #2363-23 in WI)

🟢
Initial NPI Registration & Enumeration November 01, 2007

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: 1891974218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2007
Last Update: October 14, 2024
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.