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

Individual provider Physician Assistant · NPI 1225665797

Kaley M Mayer, PA-C is a Physician Assistant in Neenah, Wisconsin. Qualified in 2020, 6 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
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

200 Theda Clark Medical Plz
Neenah, WI 54956-2721
Phone: (920) 358-1223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5017 N Cherryvale Ave, Appleton, WI 54913-9385 — (608) 395-4083

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5123 (WI)

Record details

NPI number1225665797
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

Other providers in Neenah