MS. MARY JO P WIEMILLER PA
NPI 1689628703
Physician Assistant - Surgical in Milwaukee, WI

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
945 N 12TH ST, MILWAUKEE, WI 53233(414) 219-7880 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Mary Jo P Wiemiller Pa NPPES

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

MS. MARY JO P WIEMILLER PA (NPI 1689628703) is an individual surgical provider in Milwaukee, Wisconsin, licensed in Wisconsin (1621) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1689628703
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. MARY JO P WIEMILLERCredential: PA
Location Address945 N 12TH STMilwaukee, WI 53233-1305
Mailing Address945 N 12th StMilwaukee, WI 53233-1305 · (414) 219-7880
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 22, 2006
Last NPPES UpdateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
NPI 1689628703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WI · 1621
945 N 12TH ST, Milwaukee, WI 53233

Other Names 1

Former Name (1)Ms. Mary Jo Matzke Pa

Other Identifiers 2

Medicaid41975200WI
Other006806261BHumana

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Mary Jo P Wiemiller Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567481195
PECOS Enrollment IDI20051114000401
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.

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.

Family Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233
Physician Assistant
945 N 12TH ST
MILWAUKEE, WI 53233
Emergency Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Registered Nurse
945 N 12TH ST
MILWAUKEE, WI 53233
Registered Nurse (Registered Nurse First Assistant)
945 N 12TH ST
MILWAUKEE, WI 53233
Clinic/Center (Federally Qualified Health Center (FQHC))
945 N 12TH ST, URGENT CARE
MILWAUKEE, WI 53233
Anesthesiologist Assistant
945 N 12TH ST
MILWAUKEE, WI 53233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jo Wiemiller's NPI number?

The NPI number for Mary Jo Wiemiller is 1689628703. It was assigned to this individual provider in the NPPES registry on May 22, 2006. The provider is also known as Ms. Mary Jo Matzke PA.

Where is Mary Jo Wiemiller located?

Mary Jo Wiemiller practices at 945 N 12th St, Milwaukee, WI 53233. The listed phone number is (414) 219-7880.

What is Mary Jo Wiemiller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mary Jo Wiemiller enrolled in Medicare?

Yes. Mary Jo Wiemiller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Jo Wiemiller accept?

Health plans from CareSource (Common Ground Healthcare) list Mary Jo Wiemiller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Jo Wiemiller was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.