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

Kelly M Schaefer, PAC

Individual provider Physician Assistant · NPI 1457603276

Kelly M Schaefer, PAC is a Physician Assistant in Green Bay, Wisconsin. Qualified in 2012, 14 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2012
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1630 Commanche Ave Ste 102
Green Bay, WI 54313-5753
Phone: (920) 433-6000
Fax: (920) 430-4719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3263 Eaton Rd Ste 1, Green Bay, WI 54311-6830 — (920) 433-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3031 (WI)

Record details

NPI number1457603276
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 3, 2012
Last updated in NPPESFebruary 9, 2022
Certification dateFebruary 9, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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