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

Individual provider Physician Assistant · NPI 1487966305

Mr. Brent T Vissat, PA-C is a Physician Assistant in Kenosha, Wisconsin. Qualified in 2010, 16 years ago. Practices with Emergency Medicine Specialists SC, a 220-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
16
Licensed in
WI
In the registry since
2010
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

10400 75th St
Kenosha, WI 53142-7884
Phone: (262) 948-5600
Fax: (262) 948-5735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3201 S 16th St Ste 100, Milwaukee, WI 53215-4579 — (414) 647-5203

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2576-23 (WI)

Record details

NPI number1487966305
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 8, 2010
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Emergency Medicine Specialists Sc — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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