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

Nicholas Kriesel, PA-C, ATC

Individual provider Athletic Trainer · NPI 1649792235

Nicholas Kriesel, PA-C, ATC is a Physician Assistant in Pewaukee, Wisconsin. Qualified in 2022, 4 years ago. Practices with Orthopaedic Associates of Wisconsin SC, a 106-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone: (262) 303-5055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3450 Hull Rd, Gainesville, FL 32607-4144 — (352) 273-7001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Athletic Trainer Taxonomy 2255A2300X · Licence AL4910 (FL)

Record details

NPI number1649792235
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC
Sole proprietorYes
NPI enumeratedJuly 14, 2017
Last updated in NPPESAugust 17, 2022
Certification dateAugust 17, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Orthopaedic Associates Of Wisconsin Sc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Pewaukee