Kimberly Ann Bollmeier, Physician Assistant
Physician Assistant in Kenosha, WI. Individual provider (NPI-1).
Details
- NPI
- 1598023939
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kimberly Ann Bollmeier
- Credential
- Physician Assistant
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2012
- Certification date
- Aug 15, 2025
- Last updated
- Aug 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 3083-23 | WI | Yes |
| 363A00000X | Physician Assistant | 085.004647 | IL |
Other names
- Kimberly Ann Wagner (Other Name)
Practice location
8501 75th St Ste JKenosha, WI 53142-7602
Phone 262-697-8030 · Fax 262-697-6157
Mailing address
801 York StManitowoc, WI 54220-4630
Phone 920-663-9008 · Fax 920-684-1439
Other practice locations
Pleasant Prairie, WI 53158-1976
Phone 262-697-8030 · Fax 262-697-6157
Grafton, WI 53024-9323
Phone 262-377-2222 · Fax 262-377-6543
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 50 Physician Assistant providers in Kenosha · All 2,489 providers in Kenosha
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