Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LEAH FYNAARDT
NPI 1003702689
Physician Assistant in Oshkosh, WI

Q: What is Leah Fynaardt's NPI number?

The NPI number for Leah Fynaardt is 1003702689. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Q: What is Leah Fynaardt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Leah Fynaardt was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 17, 2025PECOS Enrolled

855 N WESTHAVEN DR, OSHKOSH, WI 54904(920) 303-8700(920) 456-7601 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2026, Jun 17, 2025 (2 updates tracked since 2025).

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About Leah Fynaardt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH FYNAARDT (NPI 1003702689) is an individual physician assistant in Oshkosh, Wisconsin, licensed in Wisconsin (8856) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Berlin, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1003702689

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLEAH FYNAARDT

Location Address855 N WESTHAVEN DROshkosh, WI 54904-7668

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 303-8700

Fax(920) 456-7601

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 17, 2025

Last NPPES UpdateJune 24, 20262 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1003702689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 8856

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

855 N WESTHAVEN DR, Oshkosh, WI 54904

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Secondary Practice Location 1

Location 113540 W College AveNew Berlin, WI 53151-8703 · Phone (414) 640-6402

Other Identifiers 1

Medicaid100407727WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leah Fynaardt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264917293

PECOS Enrollment IDI20260327002450

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE ANN OTS PENDING

Nurse Practitioner