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

Theresa Jean Niemczyk, PA-C

Individual provider Medical Physician Assistant · NPI 1366744716

Theresa Jean Niemczyk, PA-C is a Medical Physician Assistant in Greenfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in
WI
In the registry since
2010
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

4131 W Loomis Rd Ste 300
Greenfield, WI 53221-2057
Phone: (414) 325-7246
Fax: (414) 325-3770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 384-23 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 384-023 (WI)

Record details

NPI number1366744716
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 17, 2010
Last updated in NPPESJune 23, 2016

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