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

Kelsey R Lauterbach, PA-C

Individual provider Physician Assistant · NPI 1447739032

Kelsey R Lauterbach, PA-C is a Physician Assistant in Sheboygan, Wisconsin. Qualified in 2019, 7 years ago. Practices with St Nicholas Hospital-Sisters of the Third Order of St Francis, a 175-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2018
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

3113 Saemann Ave
Sheboygan, WI 53081-1957
Phone: (920) 496-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 430 E Division St, Fond Du Lac, WI 54935-4560 — (920) 929-2300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4851-23 (WI)

Record details

NPI number1447739032
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 14, 2018
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St. Nicholas Hospital-Sisters Of The Third Order Of St Francis — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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