KATHRYN ELIZABETH WISNEWSKI (PA) – Physician Assistant, NPI 1255065694

KATHRYN ELIZABETH WISNEWSKI (PA) is a healthcare provider. based in Pawtucket, Rhode Island. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA01463 (RI). The NPI Number for KATHRYN ELIZABETH WISNEWSKI (PA) is 1255065694

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN ELIZABETH WISNEWSKI (PA)
NPI
1255065694
Phone
Not provided
Address
333 SCHOOL ST STE 112A
Enumeration Date
12 July 2022
Last Update Date
29 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017286990
Graduation Year
2022 (4 years ago)
PAC ID
7315398047
Group Practice PAC ID
5890725881
Professional Enrollment ID
I20240108000871
Address ID
RI028605336PA333XXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

774 PHYSICIAN ASSISTANT in RI

Provider Addresses for KATHRYN ELIZABETH WISNEWSKI (PA)

  • 333 SCHOOL ST STE 112A

    PAWTUCKET, RI 028605336

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 336 Open Payments records for all available years, with a total value of $7,670.

Total Amount is formed as General ($7,670) + Research ($0) + Ownership ($0) = $7,670.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($1,430).

Total Amount

$7,670

General + Research + Ownership

Payments

336

Total payment records

General Amount

$7,670

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240108000871IPhysician AssistantRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths8120$0
99213Established patient office or other outpatient visit, 20-29 minutes2827$0
17000Destruction of precancer skin growth, 1 growth2725$0
99214Established patient office or other outpatient visit, 30-39 minutes2121$0
11102Biopsy of related skin growth, first growth1818$0
View full utilization report →

Insurance plans in this area (ZIP 02860)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890725881View full group profile
NameSpecialtyState
Physician AssistantRI
D E R M A T O L O G YRI
D E R M A T O L O G YRI

Reviews

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Frequently asked questions

Does KATHRYN ELIZABETH WISNEWSKI (PA) have a public NPI I can cite?
Public records show KATHRYN ELIZABETH WISNEWSKI (PA) under NPI 1255065694.
Quick check: is KATHRYN ELIZABETH WISNEWSKI (PA) active?
Public NPPES data shows KATHRYN ELIZABETH WISNEWSKI (PA) with an active NPI status right now.
What type of care does KATHRYN ELIZABETH WISNEWSKI (PA) provide?
KATHRYN ELIZABETH WISNEWSKI (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to KATHRYN ELIZABETH WISNEWSKI (PA)?
The directory associates KATHRYN ELIZABETH WISNEWSKI (PA) with Pawtucket, Rhode Island. Check all listed addresses for suites or satellite offices.
Who maintains KATHRYN ELIZABETH WISNEWSKI (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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