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Kelly Rae Vandermuss, PA-C

NPI 1760042923ActiveIndividual· Physician Assistant· De Pere, WI

Physician Assistant (PA-C) with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, practicing in De Pere, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $3,284 for 91 claims, against $1,940 paid for services in 2024. Hologic Sales and Service, LLC was the largest of 4 companies reporting payments in 2025, $316.09 in all, mostly food and beverage. Lists St Vincent Hospital as a hospital affiliation.

Overview

NPI1760042923
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJun 19, 2019
Last updated in NPPESDec 5, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X4704-23WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients20
Services billed54 across 14 procedure codes
Paid by Medicare$1,940

Part D prescriptions in 2024

Prescriptions (claims)91 · 116 30-day fills
Patients42
Total drug cost$3,284
Generic share96% of claims

Medicare sources and data years

Education and affiliations

Graduation year2009
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$316.09 · 4 payments from 4 companies
  • 2024$112.74 · 1 payment from 1 company

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$316.09 · 4 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in De Pere

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