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

John Kellner, PA-C

Individual provider Physician Assistant · NPI 1275049033

John Kellner, PA-C is a Physician Assistant in Oconto Falls, Wisconsin. Graduated from Central Michigan College of Medicine in 2017, 9 years ago. Practices with Baycare Clinic LLP, a 196-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Trained at
Central Michigan College of Medicine
Licensed in
WI
In the registry since
2017
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

855 S Main St
Oconto Falls, WI 54154-1241
Phone: (920) 496-4700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4268-23 (WI)

Record details

NPI number1275049033
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 15, 2017
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing addressPo Box 19070, Green Bay, WI 54307-9070

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCENTRAL MICHIGAN COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Baycare Clinic Llp — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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