Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kylie Ann Bergstrom, MSPAS, PA-C

Individual provider Physician Assistant · NPI 1457138471

Kylie Ann Bergstrom, MSPAS, PA-C is a Physician Assistant in Madison, Wisconsin. Qualified in 2023, 3 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
Specialties on file
2
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

600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 263-7502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 7481 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 7481 (WI)

Record details

NPI number1457138471
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPAS , PA-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

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 University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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