Kimberly Roberson, PA
NPI 1083666796ActiveIndividual· Physician Assistant· Kenosha, WI
Physician Assistant (PA) in Kenosha, Wisconsin, licensed in WI, with an NPI issued in May 2006. 113 Medicare patients in 2024, $8,943 paid; nearly all of their 76 Part D prescriptions were generic (97%).
Overview
| NPI | 1083666796 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | May 17, 2006 |
| Last updated in NPPES | Jan 15, 2024 |
| Certified by provider | Jan 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1708 | WI |
| Emergency Medicine | 207P00000X | 1708 | WI |
| Physician Assistant, Surgical | 363AS0400X | 1708 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 113 |
|---|---|
| Services billed | 133 across 12 procedure codes |
| Paid by Medicare | $8,943 |
Part D prescriptions in 2024
| Prescriptions (claims) | 76 · 76 30-day fills |
|---|---|
| Patients | 57 |
| Total drug cost | $2,133 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Kenosha
- 1033442538
- 1083036123
- 1144317736
- 1154322147
- 1164056727
- 1346542289
- 1427831585
- 1457728339
- 1467658195
- 1497189468
- 1558956102
- 1568496990
All 50 physician assistants in Kenosha · All physician assistants in Wisconsin