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

Hannah Kathryn Wisniewski

Individual provider Physician Assistant · NPI 1164128724

Hannah Kathryn Wisniewski is a Physician Assistant in Palm Coast, Florida. Qualified in 2025, 1 year ago. Practices with University Medical Service Association Inc, a 824-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

23 Buffalo Grove Pl
Palm Coast, FL 32137-9462
Phone: (386) 283-1972
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)

  • 13330 Usf Laurel Dr, Tampa, FL 33612-6601 — (813) 821-8034

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9120291 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9120291 (FL)

Record details

NPI number1164128724
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2023
Last updated in NPPESDecember 7, 2025
Certification dateDecember 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice University Medical Service Association Inc — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Palm Coast