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

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1275207409

Leah Suzanne Wisniewski, PA-C is a Physician Assistant in Madison, Wisconsin. Qualified in 2021, 5 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
5
Licensed in
MN, WI
In the registry since
2021
Specialties on file
2
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

451 Junction Rd
Madison, WI 53717-2656
Phone: (608) 263-7741
Fax: (608) 265-7519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 Delaware St Se, Minneapolis, MN 55455-0341 — (612) 273-3000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5722 (WI)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X · Licence 13820 (MN)

Record details

NPI number1275207409
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

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 Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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