Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dominique N Villalba, PA-C

Individual provider Medical Physician Assistant · NPI 1265143275

Dominique N Villalba, PA-C is a Physician Assistant in Wausau, Wisconsin. Qualified in 2023, 3 years ago. Practices with Mchs Hospitals Inc, a 1,194-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Wisconsin.

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

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2727 Plaza Dr
Wausau, WI 54401-4192
Phone: (715) 847-3000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 435 N 5th St, Phoenix, AZ 85004-2157 — (602) 827-2450

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8037 (WI)
Medical Physician Assistant Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X · Licence 9977 (AZ)

Record details

NPI number1265143275
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2022
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

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 McHs Hospitals Inc — 1194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Wausau