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

Nisha Deshpande, PA

Individual provider Physician Assistant · NPI 1154322147

Nisha Deshpande, PA is a Physician Assistant in Kenosha, Wisconsin. Qualified in 2000, 26 years ago. Practices with Froedtert South Inc, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
26
Licensed in
WI
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3400 Market Ln Ste 300
Kenosha, WI 53144-3430
Phone: (262) 551-4600
Fax: (262) 551-4630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 370 Summit St, Elgin, IL 60120-3843 — (847) 608-1344

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8366-23 (WI)

Record details

NPI number1154322147
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Froedtert South Inc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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