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

Leah Ebben, PA-C

Individual provider Physician Assistant · NPI 1124693395

Leah Ebben, PA-C is a Physician Assistant in Appleton, Wisconsin. Qualified in 2021, 5 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2021
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

2500 E Capitol Dr
Appleton, WI 54911-8735
Phone: (920) 364-3600
Fax: (920) 364-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 — (414) 805-4600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5607 (WI)

Record details

NPI number1124693395
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 20, 2021
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022
Mailing address2500 E Capitol Dr, Appleton, WI 54911-8735

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

Other providers in Appleton