KELSEY E GAFFNEY (PA) – Physician Assistant, NPI 1164989281
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for KELSEY E GAFFNEY (PA)
122, East College Avenue, Appleton, Outagamie County, Wisconsin, 54911, United States
APPLETON, WI 549115741
Phone: (920) 996-3264
Fax: (920) 830-5910
Type: Mailing
201 Lake St
Menasha, WI 549522720
Phone: (920) 659-3967
Type: Location
Encircle Health, 2500, East Capitol Drive, Northeast Business Park, Appleton, Outagamie County, Wisconsin, 54911, United States
APPLETON, WI 549118735
Phone: (920) 830-6877
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $94.
Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.
Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Exeltis, USA Inc. ($31).
Total Amount
$94
General + Research + Ownership
Payments
6
Total payment records
General Amount
$94
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exeltis, USA Inc. | $31 |
| Sage Therapeutics, Inc. | $19 |
| Ethicon US, LLC | $16 |
| PFIZER INC. | $15 |
| ABBVIE INC. | $13 |
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: 2020-02-07
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 |
|---|---|---|---|---|
| I20200207001136 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54911)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| - | WI | |
| Physician Assistant | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI |
Reviews
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