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

Mr. Kevin T Wyne, PA-C

Individual provider Physician Assistant · NPI 1699757880

Mr. Kevin T Wyne, PA-C is a Physician Assistant in Madison, Wisconsin. Qualified in 2005, 21 years ago. Practices with Madison Emergency Physicians SC, a 15-clinician group and accepts Medicare assignment. Licensed in Iowa, Illinois, Vermont and Wisconsin.

Years since qualifying
21
Licensed in
IA, IL, VT, WI
In the registry since
2005
Specialties on file
5
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

600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 262-2398
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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 2909-23 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 001734 (IA)
Physician Assistant Taxonomy 363A00000X · Licence 055.0030930 (VT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085002558 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085002558 (IL)

Record details

NPI number1699757880
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 15, 2005
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

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 Madison Emergency Physicians Sc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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