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

Katelyn Taylor

Individual provider Physician Assistant · NPI 1053982017

Katelyn Taylor is a Physician Assistant in Green Bay, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2021, 5 years ago. Practices with New Dermatology Group Ltd, a 23-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2021
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Practice location Address checks out

3059 Voyager Dr
Green Bay, WI 54311-8303
Phone: (920) 965-0345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5482-23 (WI)

Record details

NPI number1053982017
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 9, 2021
Last updated in NPPESFebruary 20, 2023
Certification dateFebruary 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice New Dermatology Group Ltd — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Green Bay