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

Kevyn Alexis Janicek Wollenberg

Individual provider Physician Assistant · NPI 1851977854

Kevyn Alexis Janicek Wollenberg is a Physician Assistant in New Richmond, Wisconsin. Qualified in 2022, 4 years ago. Practices with Westfields Hospital Inc, a 108-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2021
Specialties on file
2

Practice location Address checks out

535 Hospital Rd
New Richmond, WI 54017-1449
Phone: (715) 243-2600
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5868-23 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1851977854
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2021
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 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 Westfields Hospital Inc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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