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

Individual provider Physician Assistant · NPI 1336887041

Amanda Jane Ujazdowski, PA-C is a Physician Assistant in Appleton, Wisconsin. Qualified in 2019, 7 years ago. Practices with Thedacare, Incorporated, a 654-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2022
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

2400 E Capitol Dr
Appleton, WI 54911-8728
Phone: (920) 831-5050
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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 5843 (WI)

Record details

NPI number1336887041
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 23, 2022
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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