ANNA L KING (PA) – Physician Assistant, NPI 1043862998
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,672 PHYSICIAN ASSISTANT in WI
Provider Addresses for ANNA L KING (PA)
200 Theda Medical Plaza
Suite 320
Neenah, WI 549562790
Phone: (920) 722-3341
Fax: (920) 729-2119
Type: Location
225 Memorial Dr
Berlin, WI 549231243
Phone: (920) 731-8900
Fax: (920) 738-5369
Type: Location
601 Grove Ave
Wild Rose, WI 549846903
Phone: (920) 731-8900
Fax: (920) 738-5369
Type: Location
1405 Mill St
New London, WI 549612155
Phone: (920) 731-8900
Fax: (920) 225-1414
Type: Location
370 S Main St
Clintonville, WI 549291632
Phone: (920) 731-8900
Fax: (920) 738-5369
Type: Location
800 Riverside Dr
Waupaca, WI 549811943
Phone: (920) 731-8900
Fax: (920) 738-5369
Type: Location
100 County Road B
Shawano, WI 541667072
Phone: (920) 731-8900
Fax: (920) 225-1414
Type: Location
122, East College Avenue, Appleton, Outagamie County, Wisconsin, 54911, United States
APPLETON, WI 549115794
Phone: (920) 996-3264
Fax: (920) 830-5970
Type: Mailing
ThedaCare Regional Medical Center-Appleton, 1818, North Meade Street, Erb Park, Appleton, Outagamie County, Wisconsin, 54911, United States
APPLETON, WI 549113454
Phone: (920) 731-8900
Fax: (920) 225-1414
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-08-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190807001868 | I | Physician Assistant | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 18 | 16 | $0 |
Insurance plans in this area (ZIP 54956)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | WV | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI | |
| General Surgery, Colorectal Surgery (Proctology), Surgical Oncology, Thoracic Surgery, Vascular Surgery | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| General Surgery | WI | |
| General Surgery | WI | |
| Nurse Practitioner | WI |
Reviews
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