Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Emily Ann Lee, PA-C

Individual provider Physician Assistant · NPI 1194097311

Mrs. Emily Ann Lee, PA-C is a Physician Assistant in Kenosha, Wisconsin. Qualified in 2011, 15 years ago. Practices with Group Health Cooperative of South Central Wisconsin, a 234-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in South Dakota and Wisconsin.

Years since qualifying
15
Licensed in
SD, WI
In the registry since
2012
Specialties on file
2
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 Ste 215
Kenosha, WI 53142-7884
Phone: (262) 948-7380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1417 S. Cliff Ave., Sioux Falls, SD 57105-1063 — (605) 322-8937

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3731-23 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 0800 (SD)

Record details

NPI number1194097311
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 3, 2012
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Group Health Cooperative Of South Central Wisconsin — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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