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

Individual provider Physician Assistant · NPI 1942853569

Benjamin J Luitjens, PA-C is a Physician Assistant in Appleton, Wisconsin. Qualified in 2019, 7 years ago. Practices with Waukesha Surgical Specialists, SC, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2019
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

2105 E Enterprise Ave
Appleton, WI 54913-7862
Phone: (920) 560-1000
Fax: (920) 731-7133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1498 W South Park Ave, Oshkosh, WI 54902-6677 — (920) 560-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4803-23 (WI)

Record details

NPI number1942853569
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 23, 2019
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023
Mailing address2105 E Enterprise Ave Ste 112, Appleton, WI 54913-7862

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 Waukesha Surgical Specialists, S.C. — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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