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Katelyn A Vanderloop , PA-C

Physician Assistant β€’ Greenfield, WI

Active NPI 1659801215 Individual Practitioner Female Practitioner
Practice location in NPPES

9000 W Sura Ln
Greenfield, WI 532283477

Call 4142466400 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9000 W Sura Ln

Greenfield, WI 532283477

Telephone 4142466400
Organization at the Same NPPES Address or Phone
Aurora Surgery Centers, Llc Facility NPI 1659839686

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Katelyn Vanderloop has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Katelyn Vanderloop as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Greenfield and Wisconsin

31 active clinicians are listed under Physician Assistant with a practice address in Greenfield, WI (3,476 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Greenfield

9.7% of these 31 clinicians have the CMS telehealth indicator.

67.7% of these 31 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WI 4100-23

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100070012 (WI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20170906002863

Enrollment State Jurisdiction

WI

PECOS Control ID

5991078362

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Tamara Van Lannen , NP

Nurse Practitioner

NPI 1114240199

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
πŸ“
Updated Business Mailing Address November 24, 2023

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 4142466800)

πŸ“
Updated Practice Location August 21, 2020

Registered at 9000 W SURA LN, GREENFIELD, WI 532283477 (Tel: 4142466400)

πŸ“
Updated Business Mailing Address August 21, 2020

Registered at 9000 W SURA LN, GREENFIELD, WI 532283477 (Tel: 4142466400)

πŸ‘€
Provider Name / Credentials Updated August 21, 2020

Recorded as KATELYN VANDERLOOP, PA-C

πŸ“
Updated Practice Location July 11, 2018

Registered at 5250 S 108TH ST, HALES CORNERS, WI 53130 (Tel: 4145252400)

πŸ“
Updated Business Mailing Address July 11, 2018

Registered at 5250 S 108TH ST, HALES CORNERS, WI 531301321 (Tel: 4145252400)

βœ…
NPI Profile Active August 10, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 10, 2017

Registered at 4810 EXPO DRIVE, MANITOWOC, WI 542209341 (Tel: 9204291714)

πŸ“
Updated Business Mailing Address August 10, 2017

Registered at 6065 S KARRINGTON LN, NEW BERLIN, WI 531518751 (Tel: 4145312595)

πŸ‘€
Provider Name / Credentials Updated August 10, 2017

Recorded as KATELYN MROCZENSKI, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2017

Physician Assistant (license number reported to NPPES: WI 4100-23)

βœ…
NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 15, 2017

Registered at 4810 EXPO DRIVE, MANITOWOC, WI 542209341 (Tel: 9204291714)

πŸ“
Business Mailing Address (Initial Record) June 15, 2017

Registered at 6065 S KARRINGTON LN, NEW BERLIN, WI 531518751 (Tel: 4145312595)

πŸ‘€
Provider Name / Credentials (Initial Record) June 15, 2017

Recorded as KATELYN MROCZENSKI, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Physician Assistant

🟒
Initial NPI Registration & Enumeration June 15, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659801215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2017
Last Update: November 24, 2023
Sole Proprietor: No

Other Physician Assistants in Greenfield

All Physician Assistants in Greenfield

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 4142466800

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.