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

Individual provider Medical Physician Assistant · NPI 1083010284

Kimberly A Weise, PA is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2014, 12 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas and Wisconsin.

Years since qualifying
12
Licensed in
KS, WI
In the registry since
2014
Specialties on file
2
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

9200 W Wisconsin Ave Dept OF Internal Medicine
Milwaukee, WI 53226-3522
Phone: (414) 805-6850
Fax: (414) 805-6851
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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 3739-23 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 15-01755 (KS)

Record details

NPI number1083010284
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 15, 2014
Last updated in NPPESSeptember 14, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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