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

Kennedy Grace Chow, PA

Individual provider Physician Assistant · NPI 1437857489

Kennedy Grace Chow, PA is a Physician Assistant in Mequon, Wisconsin. Qualified in 2023, 3 years ago. Practices with Madison Medical Affiliates Inc, a 86-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13133 N Port Washington Rd Ste G16
Mequon, WI 53097-2423
Phone: (262) 243-2500
Fax: (262) 243-5395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 788 N Jefferson St Ste 401, Milwaukee, WI 53202-3718 — (414) 226-4020
  • 2350 N Lake Dr Ste 306, Milwaukee, WI 53211-4528 — (414) 226-4020

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7425 (WI)

Record details

NPI number1437857489
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 20, 2023
Last updated in NPPESApril 10, 2024
Certification dateFebruary 21, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Madison Medical Affiliates Inc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Mequon