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

Sydney Avalon Vignali

Individual provider Physician Assistant · NPI 1710636725

Sydney Avalon Vignali is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2022, 4 years ago. Practices with Emergency Medicine Specialists SC, a 220-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

10625 W North Ave Ste 101B
Milwaukee, WI 53226-2315
Phone: (630) 484-0414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1710636725
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 18, 2022
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address10625 W North Ave Ste 101b, Milwaukee, WI 53226-2315

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 Emergency Medicine Specialists Sc — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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