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

Nathaniel Gary Kitzmann

Individual provider Physician Assistant · NPI 1417544305

Nathaniel Gary Kitzmann is a Physician Assistant in Madison, Wisconsin. Qualified in 2021, 5 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

20 S Park St Ste 202
Madison, WI 53715-1386
Phone: (608) 287-2090
Fax: (608) 287-2086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5230 60th Ave Sw, Rochester, MN 55902-2406 — (507) 923-8171
  • 700 S Park St, Madison, WI 53715-1830 — (608) 251-6100

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5794-23 (WI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1417544305
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 25, 2020
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 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 schoolOTHER
Graduated 2021 (5 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 locations9 on file with Medicare

Other providers in Madison