Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joanna Kelley Crouse, PA-C

Individual provider Medical Physician Assistant · NPI 1043732043

Joanna Kelley Crouse, PA-C is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2017, 9 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone: (414) 649-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 945 N 12th St, Milwaukee, WI 53233-1305 — (414) 219-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4061-23 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 4061-23 (WI)

Record details

NPI number1043732043
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 11, 2017
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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