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

Kirsten J Antonneau, PAC

Individual provider Medical Physician Assistant · NPI 1467526400

Kirsten J Antonneau, PAC is a Physician Assistant in Mount Pleasant, Wisconsin. Qualified in 2006, 20 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
20
Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

1300 S Green Bay Rd Ste 100
Mount Pleasant, WI 53406-4469
Phone: (262) 619-4191
Fax: (262) 634-5185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2600 N Mayfair Rd Ste 810, Milwaukee, WI 53226-1328 — (414) 771-1122
  • 7001 S Howell Ave Ste 900, Oak Creek, WI 53154-1408 — (262) 898-4400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1981-23 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1981 (WI)

Record details

NPI number1467526400
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mount Pleasant