Kristen Jeanne Brockdorf, PA-C
Kristen Jeanne Brockdorf, PA-C is a Physician Assistant in Appleton, Wisconsin. Qualified in 2017, 9 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 9
- Licensed in
- WI
- In the registry since
- 2017
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2500 E Capitol DrAppleton, WI 54911-8735
Phone: (920) 364-3600
Fax: (920) 364-3900
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 1818 N Meade St, Appleton, WI 54911-3454 — (920) 731-4101
- 130 2nd St, Neenah, WI 54956-2883 — (920) 729-3100
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 404123 (WI) |
|---|---|
| Medical Technologist | Taxonomy 246QM0706X · Licence 249004 (WI) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 404123 (WI) |
Record details
| NPI number | 1558882555 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 29, 2017 |
| Last updated in NPPES | September 8, 2022 |
| Certification date | September 8, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Thedacare, Incorporated — 654 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |