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

Todd L McNiesh, MPAS, PA-C

Individual provider Physician Assistant · NPI 1770857229

Todd L McNiesh, MPAS, PA-C is a Physician Assistant in Appleton, Wisconsin. Graduated from University of Nebraska College of Medicine in 2012, 14 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Trained at
University of Nebraska College of Medicine
Licensed in
WI
In the registry since
2012
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

2500 E Capitol Dr Ste 1200
Appleton, WI 54911-8735
Phone: (920) 830-6877
Fax: (999) 999-9999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 E Main St, Elma, WA 98541-9560 — (360) 346-2222

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5007 (WI)

Record details

NPI number1770857229
Entity typeIndividual (Type 1)
GenderMale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedMarch 1, 2012
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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