Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicolle Kahl Wisniewski, MPAS, PA-C

Individual provider Medical Physician Assistant · NPI 1871579961

Nicolle Kahl Wisniewski, MPAS, PA-C is a Physician Assistant in Anchorage, Alaska. Qualified in 2003, 23 years ago. Practices with Orthoalaska LLC, a 163-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
23
Licensed in
AK
In the registry since
2005
Specialties on file
2
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

3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508-5234
Phone: (907) 562-2277
Fax: (907) 563-3460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 Noble St, Fairbanks, AK 99701-4922 — (907) 459-3500

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1000 (AK)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1000 (AK)

Record details

NPI number1871579961
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedDecember 20, 2005
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Orthoalaska Llc — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Anchorage