Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa Jennings, PA-C

Individual provider Physician Assistant · NPI 1952013344

Alyssa Jennings, PA-C is a Physician Assistant in Appleton, Wisconsin. Qualified in 2023, 3 years ago. Practices with New Dermatology Group Ltd, a 23-clinician group and accepts Medicare assignment. Licensed in California, Michigan and Wisconsin.

Years since qualifying
3
Licensed in
CA, MI, WI
In the registry since
2022
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2500 E Capitol Dr # 3700
Appleton, WI 54911-8735
Phone: (920) 965-0345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8022-23 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 5601012593 (MI)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 64316 (CA)

Record details

NPI number1952013344
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 19, 2022
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice New Dermatology Group Ltd — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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