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

Jared M Lieungh, PAC

Individual provider Physician Assistant · NPI 1851280671

Jared M Lieungh, PAC is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2025, 1 year ago. Practices with Agnesian Healthcare Inc, a 390-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-6550
Fax: (414) 805-6565
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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 8607 (WI)

Record details

NPI number1851280671
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 30, 2025
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 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 Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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