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

Kathryn Elizabeth Wisnewski, PA

Individual provider Physician Assistant · NPI 1255065694

Kathryn Elizabeth Wisnewski, PA is a Physician Assistant in Pawtucket, Rhode Island. Qualified in 2022, 4 years ago. Practices with David S Pomerantz MD Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
4
Licensed in
RI
In the registry since
2022
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

333 School St Ste 112A
Pawtucket, RI 02860-5336
Phone: (401) 728-6990
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01463 (RI)

Record details

NPI number1255065694
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 12, 2022
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice David S Pomerantz Md Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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