Kelly Rae Vandermuss, PA-C - Medicare Physician Assistant in De Pere, WI

Kelly Rae Vandermuss, PA-C is a medicare enrolled "Physician Assistant" in De Pere, Wisconsin. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Vincent Hospital-hospital Sisters-third Order Of St Francis and her current practice location is 1381 Brayden Ln, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 664-3734.

Kelly Rae Vandermuss is licensed to practice in Wisconsin (license number 4704-23) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760042923.

Contact Information

Kelly Rae Vandermuss, PA-C
1381 Brayden Ln,
De Pere, WI 54115-9249
(920) 664-3734
Not Available

Map and Direction




Provider's Profile

Full NameKelly Rae Vandermuss
GenderFemale
SpecialityPhysician Assistant
Experience15 Years
Location1381 Brayden Ln, De Pere, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Rae Vandermuss graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1760042923
  • Provider Enumeration Date: 06/19/2019
  • Last Update Date: 12/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7618202763
  • Enrollment ID: I20190711000451

Medical Identifiers

Medical identifiers for Kelly Rae Vandermuss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760042923NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 4704-23 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Vincent HospitalGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent Hospital-hospital Sisters-third Order Of St Francis5799694675562

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Rae Vandermuss is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Rae Vandermuss, PA-C
2502 S Ashland Ave,
Green Bay, WI 54304-5252

Ph: (920) 496-4700
Kelly Rae Vandermuss, PA-C
1381 Brayden Ln,
De Pere, WI 54115-9249

Ph: (920) 664-3734

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.