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

Elissa Kowaleski, PA

Individual provider Physician Assistant · NPI 1841746989

Elissa Kowaleski, PA is a Physician Assistant in Mequon, Wisconsin. Qualified in 2016, 10 years ago. Practices with Advanced Ear Nose and Throat Specialists, SC, a 33-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10610 N Port Washington Rd
Mequon, WI 53092-5013
Phone: (414) 771-6780
Fax: (414) 238-2424
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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 3793 - 23 (WI)

Record details

NPI number1841746989
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 29, 2016
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Advanced Ear Nose And Throat Specialists, Sc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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