Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kirby Kristine Hancock, PA-C

Individual provider Physician Assistant · NPI 1124513528

Kirby Kristine Hancock, PA-C is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2018, 8 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
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

2901 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3677
Phone: (414) 646-8900
Fax: (414) 646-8995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2350 N Lake Dr Ste 302, Milwaukee, WI 53211-4528 — (414) 298-7104

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4416-23 (WI)

Record details

NPI number1124513528
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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