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

Individual provider Physician Assistant · NPI 1700993151

Mr. Jon D Niewolny, PA-C is a Physician Assistant in Sheboygan, Wisconsin. Qualified in 2005, 21 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
21
Licensed in
WI
In the registry since
2006
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

3400 Union Ave
Sheboygan, WI 53081-8426
Phone: (920) 828-2530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2414 Kohler Memorial Dr, Sheboygan, WI 53081 — (920) 457-4461

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1899-23 (WI)

Record details

NPI number1700993151
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Sheboygan