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

Krystal A Mitich, PA-C

Individual provider Physician Assistant · NPI 1407209828

Krystal A Mitich, PA-C is a Physician Assistant in Green Bay, Wisconsin. Qualified in 2016, 10 years ago. Practices with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, a 594-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2016
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

1821 S Webster Ave
Green Bay, WI 54301-2253
Phone: (920) 496-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3003 University Dr, Marinette, WI 54143-4110 — (715) 735-4200
  • 2820 Roosevelt Rd, Marinette, WI 54143-3834 — (715) 735-5225

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4248-23 (WI)

Record details

NPI number1407209828
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 20, 2016
Last updated in NPPESFebruary 10, 2023
Certification dateDecember 28, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Vincent Hospital-Hospital Sisters-Third Order Of St Francis — 594 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Green Bay