LISA ANN WITKOWSKI (MPAS, PA-C, LPC) – Medical Physician Assistant, NPI 1255431870
Medical Physician Assistant
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NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
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Provider Addresses for LISA ANN WITKOWSKI (MPAS, PA-C, LPC)
Kensington West, 6314, Odana Road, Madison, Dane County, Wisconsin, 53719, United States
MADISON, WI 537191120
Phone: (608) 277-0619
Fax: (608) 270-6651
Type: Location
1015 GAMMON LN
MADISON, WI 537192210
Phone: (608) 417-8144
Fax: (608) 417-8144
Type: Location
Kensington West, 6314, Odana Road, Clock Tower Office Park, Madison, Dane County, Wisconsin, 53719, United States
MADISON, WI 537191129
Phone: (608) 277-0610
Fax: (608) 270-6651
Type: Mailing
7974 UW HEALTH CT
MIDDLETON, WI 535625531
Phone:
Type: Mailing
1121 BELLWEST BLVD
BELLEVILLE, WI 535089433
Phone: (608) 424-3384
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: 2024-09-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240909002302 | I | Physician Assistant | WI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53719)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Endocrinology, Internal Medicine | WI | |
| Medical Oncology, Hematology/Oncology | CA |
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