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

Individual provider Physician Assistant · NPI 1750572913

Kristine M Matysiak, PA-C is a Physician Assistant in Sturgeon Bay, Wisconsin. Qualified in 2007, 19 years ago. Practices with Door County Memorial Hospital, a 86-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2007
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

323 S 18th Ave
Sturgeon Bay, WI 54235
Phone: (920) 746-0510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2249-023 (WI)

Record details

NPI number1750572913
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2007
Last updated in NPPESApril 7, 2023
Certification dateDecember 18, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Door County Memorial Hospital — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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