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

Mrs. Kaitlyn Soukup Schneider, PA-C

Individual provider Physician Assistant · NPI 1639663503

Mrs. Kaitlyn Soukup Schneider, PA-C is a Physician Assistant in Manitowoc, Wisconsin. Qualified in 2018, 8 years ago. Practices with Forefront Dermatology SC, a 645-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2018
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

1515 Randolph Ct
Manitowoc, WI 54220-8345
Phone: (920) 683-5278
Fax: (920) 482-0359
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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 4386 (WI)

Record details

NPI number1639663503
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 14, 2018
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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