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Active NPI 1194458794 Individual Practitioner Female Practitioner

Holly Keddington , PA-C

Physician Assistant • Waterloo, WI

Professional Overview & Biography Verified Profile Summary

Holly Keddington, PA-C is a registered healthcare professional specializing in Physician Assistant in Waterloo, WI. Practice services are available at 105 HIGHLAND TER under active NPI credentials.

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

105 Highland Ter

Waterloo, WI 535942217

Telephone 9204782141
Fax 9204783820
Associated Practice Facility / Clinic
🏢 Dean Health Systems, Inc. Facility NPI 1811931835

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Waterloo, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Waterloo, WI (3517 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.6% 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 (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
13 12 $256.00 $72.64

Medical Specialties & State Licenses

CMS Verified: 2024-09-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 7947-23

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
1194458794 (WI)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. F. Meyers , MD

Family Medicine

NPI 1316025976

Doctor of Medicine (M.D.)

Laura Schultz , PA-C

Physician Assistant

NPI 1508187436

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location June 18, 2024

Registered at 105 HIGHLAND TER, WATERLOO, WI 535942217 (Tel: 9204782141)

📍
Updated Business Mailing Address June 18, 2024

Registered at 105 HIGHLAND TER, WATERLOO, WI 535942217

👤
Provider Name / Credentials Updated June 18, 2024

Recorded as HOLLY KEDDINGTON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2024

Physician Assistant (License #7947-23 in WI)

NPI Profile Active July 01, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2022

Registered at 512 MARY KNOLL LN, WATERTOWN, WI 530981219 (Tel: 4143772222)

📍
Updated Business Mailing Address July 01, 2022

Registered at 512 MARY KNOLL LN, WATERTOWN, WI 530981219

👤
Provider Name / Credentials Updated July 01, 2022

Recorded as HOLLY KEDDINGTON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 01, 2022

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: 1194458794
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2022
Last Update: September 17, 2024
Sole Proprietor: Yes

Mailing Address

105 Highland Ter

Waterloo, WI 535942217

Phone: 9204782141

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.