Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine D. Ketterhagen, PA-C

Individual provider Physician Assistant · NPI 1356414668

Katherine D. Ketterhagen, PA-C is a Physician Assistant in Janesville, Wisconsin. Qualified in 2004, 22 years ago. Practices with Edgerton Hospital and Health Services, Inc, a 39-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
22
Licensed in
WI
In the registry since
2006
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

3200 E Racine St
Janesville, WI 53546-2343
Phone: (608) 371-8000
Fax: (608) 371-8008
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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 1757-23 (WI)

Record details

NPI number1356414668
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 16, 2006
Last updated in NPPESNovember 3, 2020
Certification dateNovember 3, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Edgerton Hospital And Health Services, Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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