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

Mrs. Jill Marie Hietpas, PAC

Individual provider Physician Assistant · NPI 1396796660

Mrs. Jill Marie Hietpas, PAC is a Physician Assistant in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

1835 E Edgewood Dr Ste 10535
Appleton, WI 54913-9407
Phone: (920) 215-0102
Fax: (920) 214-0795
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1285023 (WI)

Record details

NPI number1396796660
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023

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