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

Pan Li

Individual provider Physician Assistant · NPI 1942039482

Pan Li is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2024, 2 years ago. Practices with Edgerton Hospital and Health Services, Inc, a 39-clinician group and accepts Medicare assignment. Licensed in California, Illinois, Michigan and New York and 3 more.

Years since qualifying
2
Licensed in
CA, IL, MI, NY, UT, VA
In the registry since
2024
Specialties on file
7
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Practice location Address checks out

945 N 12th St
Milwaukee, WI 53233-1305
Phone: (414) 219-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8146-23 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 085011036 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 033377-01 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 5601012921 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 0110011282 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 66258 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 14195522-1206 (UT)

Record details

NPI number1942039482
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 1, 2024
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Edgerton Hospital And Health Services, Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Milwaukee