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

Mrs. Grace Rothstein Immel, PA-C

Individual provider Physician Assistant · NPI 1255715678

Mrs. Grace Rothstein Immel, PA-C is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2015, 11 years ago. Practices with Froedtert Andthe Medical College of Wisconsin Community Physicians Inc, a 1,255-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2015
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

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-6000
Fax: (414) 805-6280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10610 N Port Washington Rd, Mequon, WI 53092-5013 — (414) 771-6780
  • 2885 N Mayfair Rd, Wauwatosa, WI 53222-4404 — (414) 771-6780

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3626-23 (WI)

Record details

NPI number1255715678
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 15, 2015
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc — 1255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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