Robert J Niles, PAC
Robert J Niles, PAC is a Physician Assistant in Amery, Wisconsin. Qualified in 2010, 16 years ago. Practices with Fairview Clinics, a 806-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.
- Years since qualifying
- 16
- Licensed in
- MN, WI
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
265 Griffin St EAmery, WI 54001-1439
Phone: (715) 268-8000
Fax: (715) 268-0311
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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 10827 (MN) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 2713-23 (WI) |
Record details
| NPI number | 1639488406 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | September 28, 2010 |
| Last updated in NPPES | June 27, 2022 |
| Certification date | June 27, 2022 |
| Mailing address | 265 Griffin St. East, Amery, WI 54001-1439 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Group practice | Fairview Clinics — 806 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 11 on file with Medicare |
Other providers in Amery
-
Kailey M Ledo, PA
265 Griffin St E, Amery, WI 54001-1439 · (715) 268-8000
-
Anna Walker
265 Griffin St E, Amery, WI 54001-1439 · (715) 268-8000