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

Individual provider Physician Assistant · NPI 1073999397

Alyxandria Kathryn Andrus, PA-C is a Physician Assistant in Green Bay, Wisconsin. Qualified in 2015, 11 years ago. Practices with Baycare Clinic LLP, a 196-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2015
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

2605 Development Dr
Green Bay, WI 54311-4240
Phone: (920) 288-8240
Fax: (920) 857-1488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (WI)

Record details

NPI number1073999397
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 10, 2015
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Baycare Clinic Llp — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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