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

Individual provider Physician Assistant · NPI 1497217400

Libbi Wissekerke, PA-C is a Physician Assistant in Providence, Rhode Island. Qualified in 2019, 7 years ago. Accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
7
Licensed in
MA, RI
In the registry since
2019
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

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4000
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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 PA01129 (RI)
Physician Assistant Taxonomy 363A00000X · Licence PA8171 (MA)

Record details

NPI number1497217400
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence