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

Elise Large, PA-C

Individual provider Physician Assistant · NPI 1760225510

Elise Large, PA-C is a Physician Assistant in Hartford, Wisconsin. Qualified in 2024, 2 years ago. Practices with Aurora Advanced Healthcare, Inc, a 1,101-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2024
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

1640 E Sumner St
Hartford, WI 53027-2684
Phone: (262) 670-4000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 789023 (WI)

Record details

NPI number1760225510
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 18, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Aurora Advanced Healthcare, Inc. — 1101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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