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

Mr. Tyler J Wimmer

Individual provider Physician Assistant · NPI 1972249696

Mr. Tyler J Wimmer is a Physician Assistant in Wausau, Wisconsin. Qualified in 2022, 4 years ago. Practices with Aspirus Medical Group, Inc, a 274-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone: (715) 847-2611
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (WI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1972249696
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2022
Last updated in NPPESMay 5, 2022
Certification dateMay 5, 2022
Mailing address500 Wind Ridge Dr, Wausau, WI 54401-4173

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Aspirus Medical Group, Inc. — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Wausau