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

Marcy D Lisota, PAC

Individual provider Physician Assistant · NPI 1629051347

Marcy D Lisota, PAC is a Physician Assistant in Onalaska, Wisconsin. Qualified in 1995, 31 years ago. Practices with Mayo Clinic Health System-Southwest Wisconsin Region Inc, a 552-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
31
Licensed in
MN, WI
In the registry since
2005
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

191 Theater Rd
Onalaska, WI 54650
Phone: (608) 785-0940
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 701 N Sprague St, Caledonia, MN 55921-1066 — (507) 725-3353
  • 701 N Sprague St, Caledonia, MN 55921-1066 — (507) 725-3353

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 971 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 9180 (MN)

Record details

NPI number1629051347
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 28, 2005
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Mayo Clinic Health System-Southwest Wisconsin Region Inc — 552 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Onalaska