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

Mrs. Kimberly Elizabeth Wysocki, PA

Individual provider Physician Assistant · NPI 1275760639

Mrs. Kimberly Elizabeth Wysocki, PA is a Physician Assistant in Beaver Island, Michigan. Qualified in 2009, 17 years ago. Practices with Beaver Island Rural Health Center, a 7-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
17
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

37304 Kings Hwy
Beaver Island, MI 49782-5134
Phone: (231) 448-2275
Show map & directions

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

Additional practice locations (1)

  • 52349 Forest Grv, Shelby Twp, MI 48315-2316 — (586) 909-0148

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1275760639
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 12, 2009
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Beaver Island Rural Health Center — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount