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

Individual provider Physician Assistant · NPI 1083195580

Kathryn A Mahoney, PA-C is a Physician Assistant in Pleasant Prairie, Wisconsin. Qualified in 2018, 8 years ago. Practices with Rush University Medical Group, a 1,499-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
8
Licensed in
IL, WI
In the registry since
2018
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

9555 76th St # 1200
Pleasant Prairie, WI 53158-1984
Phone: (262) 671-7300
Fax: (262) 671-7315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1520 W Harrison St, Chicago, IL 60607-3106 — (800) 226-2371
  • 6308 8th Ave, Kenosha, WI 53143-5031 — (414) 290-6720

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085010142 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 4512-23 (WI)

Record details

NPI number1083195580
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 23, 2018
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Pleasant Prairie