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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ADDISYN PENNINGS PA
NPI 1790611796
Physician Assistant in Green Bay, WI

Active since June 18, 2026
744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-3500 Get Directions Write a Review

NPPES record added: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Addisyn Pennings Pa NPPES

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

ADDISYN PENNINGS PA (NPI 1790611796) is an individual physician assistant in Green Bay, Wisconsin and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1790611796
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameADDISYN PENNINGSCredential: PA
Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505
Mailing Address744 S Webster AveGreen Bay, WI 54301-3505
Phone(920) 433-3500
Sole ProprietorYes
Enumeration DateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1790611796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
744 S WEBSTER AVE, Green Bay, WI 54301
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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.

TAMMY ANN MOTQUIN
Nurse Practitioner (Family)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 445-7226
DR. PAMELA RANI SUD MD
Internal Medicine (Pulmonary Disease)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7451
CALEY PETERS RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 431-5696
YONGSUB CHOI
Internal Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3500
CORINNE ELIZABETH GEORGE APNP
Nurse Practitioner (Neonatal)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3500
STEVEN THANH HO CAA
Anesthesiologist Assistant
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3605
JAMIE LYNN MOSUPYE O.T.
Occupational Therapist
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7823
MIRANDA MARIE HINTZ APNP
Nurse Practitioner
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7457

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 Addisyn Pennings's NPI number?

The NPI number for Addisyn Pennings is 1790611796. It was assigned to this individual provider in the NPPES registry on June 18, 2026.

Where is Addisyn Pennings located?

Addisyn Pennings practices at 744 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 433-3500.

What is Addisyn Pennings's specialty?

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

When was this NPI record last updated?

The NPPES record for Addisyn Pennings was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 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.