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

MS. Lynnett M Wilderman, PA-C

Individual provider Physician Assistant · NPI 1861509721

MS. Lynnett M Wilderman, PA-C is a Physician Assistant in Plymouth, Wisconsin. Qualified in 1996, 30 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
30
Licensed in
WI
In the registry since
2006
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

2600 Kiley Way
Plymouth, WI 53073-5020
Phone: (920) 449-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2636 Eastern Ave, Plymouth, WI 53073 — (920) 893-4010

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 933-023 (WI)

Record details

NPI number1861509721
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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