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

Katherine Anne Wiedenhofer, PA

Individual provider Medical Physician Assistant · NPI 1366689317

Katherine Anne Wiedenhofer, PA is a Physician Assistant in Gainesville, Florida. Qualified in 2009, 17 years ago. Practices with Optumcare Florida, LLC, a 267-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone: (352) 265-0301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9104868 (FL)

Record details

NPI number1366689317
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 13, 2009
Last updated in NPPESApril 2, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Optumcare Florida, Llc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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