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NPI · 1154377091 · NPPES-sourced

Keven Mottinger Pac

ActivePhysician Assistant
NPI Number
1154377091
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(262) 551-4600
License WI · 1868
Last Updated
Enumerated
Primary practice addressWI · 53144-3430
3400 Market LnKenosha, WI 53144-3430
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About this NPIWhat this record shows.

NPI 1154377091 is registered to Keven Mottinger Pac, a Physician Assistant practising at 3400 Market Ln in Kenosha, Wisconsin. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Keven Mottinger Pac has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 12006222· Issued by CAQH

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Keven Mottinger Pac accepts. To confirm in-network status with your specific health plan, contact Keven Mottinger Pac directly at (262) 551-4600.

Frequently asked

Yes. NPI 1154377091 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (262) 551-4600.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Keven Mottinger Pac is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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2 records · same addressOther providers at this location.

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Same specialtyOther Physician Assistant providers in Wisconsin.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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