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

Kelly Laura Gottschalk, STUDENT

Individual provider Physician Assistant · NPI 1043995731

Kelly Laura Gottschalk, STUDENT is a Physician Assistant in Milwaukee, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2025, 1 year ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2023
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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 955-0350
Fax: (414) 955-0094
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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 8412 (WI)

Record details

NPI number1043995731
Entity typeIndividual (Type 1)
GenderFemale
Credentials STUDENT
Sole proprietorNo
NPI enumeratedJune 20, 2023
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

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 2025 (1 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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