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

Individual provider Physician Assistant · NPI 1962150946

Holly R Roberts, PA-C is a Physician Assistant in Pleasant Prairie, Wisconsin. Qualified in 2021, 5 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2022
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

12500 Aurora Dr
Pleasant Prairie, WI 53158-1227
Phone: (262) 857-5000
Fax: (262) 857-5001
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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 5760-023 (WI)

Record details

NPI number1962150946
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 17, 2022
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Pleasant Prairie