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

Mrs. Nicole M Wisniewski, PA-C

Individual provider Medical Physician Assistant · NPI 1992960033

Mrs. Nicole M Wisniewski, PA-C is a Physician Assistant in Manistee, Michigan. Qualified in 2008, 18 years ago. Practices with Pic Indiana PC, a 148-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1465 E Parkdale Ave
Manistee, MI 49660-9709
Phone: (231) 398-1000
Fax: (989) 340-1214
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601005972 (MI)

Record details

NPI number1992960033
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2008
Last updated in NPPESOctober 28, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Pic Indiana Pc — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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