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

Jared Matthew McLister, PAC

Individual provider Physician Assistant · NPI 1679805105

Jared Matthew McLister, PAC is a Physician Assistant in Appleton, Wisconsin. Graduated from Sanford School of Medicine of University of South Dakota in 2009, 17 years ago. Practices with Thedacare, Incorporated, a 654-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
17
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
MN, WI
In the registry since
2010
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

2400 E Capitol Dr
Appleton, WI 54911-8728
Phone: (920) 831-5050
Fax: (920) 738-6400
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4316-23 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 10698 (MN)

Record details

NPI number1679805105
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 9, 2010
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025
Mailing address3 Neenah Ctr, Neenah, WI 54956-3070

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 2009 (17 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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