TODD L MCNIESH (MPAS, PA-C) – Physician Assistant, NPI 1770857229

TODD L MCNIESH (MPAS, PA-C) is a healthcare provider. based in Elma, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MPAS, PA-C. They hold a License No. 5007 (WI). The NPI Number for TODD L MCNIESH (MPAS, PA-C) is 1770857229

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
TODD L MCNIESH (MPAS, PA-C)
NPI
1770857229
Phone
(360) 346-2222
Address
600 E Main St
Enumeration Date
1 March 2012
Last Update Date
18 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
9208315050
Graduation Year
2012 (14 years ago)
PAC ID
6709166341
Group Practice PAC ID
1759294887
Professional Enrollment ID
I20200630000909
Address ID
WI549113454AP900XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for TODD L MCNIESH (MPAS, PA-C)

  • 600 E Main St

    Elma, WA 985419560

    Phone: (360) 346-2222

    Type: Location

  • 3 NEENAH CTR

    NEENAH, WI 549563070

    Phone: (920) 454-4101

    Fax: (920) 830-5910

    Type: Mailing

  • 2500 E CAPITOL DR STE 1200

    APPLETON, WI 549118735

    Phone: (920) 830-6877

    Fax: (999) 999-9999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20161216001757IPhysician AssistantWATBD
I20200630000909IPhysician AssistantWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6460$0
99214Established patient office or other outpatient visit, 30-39 minutes4444$0
81001Manual urinalysis test with examination using microscope, automated2121$0
U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc1212$0
36415Insertion of needle into vein for collection of blood sample1212$0
View full utilization report →

Insurance plans in this area (ZIP 98541)

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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: 1759294887View full group profile
NameSpecialtyState
Family PracticeWI
Family PracticeWI
-FL
Hospitalist, Internal MedicineMI
-WI
Nurse PractitionerWI
-WA
Physician AssistantWI
Nurse PractitionerWI
Physician AssistantWI

Reviews

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Frequently asked questions

How is TODD L MCNIESH (MPAS, PA-C) identified in CMS data?
CMS-hosted NPPES data lists TODD L MCNIESH (MPAS, PA-C) with NPI 1770857229.
Is TODD L MCNIESH (MPAS, PA-C) listed as active for patients and plans?
The listing shows TODD L MCNIESH (MPAS, PA-C) as active in the NPI system.
What taxonomy line describes TODD L MCNIESH (MPAS, PA-C)?
For research purposes, treat TODD L MCNIESH (MPAS, PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect TODD L MCNIESH (MPAS, PA-C) on a map?
Expect Elma, Washington as a primary anchor for TODD L MCNIESH (MPAS, PA-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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