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

Kieran Wilson, LAT

Individual provider Physician Assistant · NPI 1386035681

Kieran Wilson, LAT is a Physician Assistant in Madison, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2023, 3 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
3
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2015
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

600 Highland Ave
Madison, WI 53792-1074
Phone: (608) 263-0333
Fax: (608) 265-6526
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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 7438 (WI)

Record details

NPI number1386035681
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT
Sole proprietorNo
NPI enumeratedFebruary 9, 2015
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

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 2023 (3 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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