Active NPI
Daniel A Lemmens, PA-CU
- Medical Physician Assistant
- Neenah, WI
National Provider Identifier
1609835495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 054-023
- Practice address
- 200 Theda Clark Medical PLZ
Suite 310
Neenah, WI 54956-2721 - Phone
- (920) 722-7747
- Fax
- (920) 722-7863
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 054-023 | WI | Primary |
Addresses
Primary practice location
200 Theda Clark Medical PLZ
Suite 310
Neenah, WI 54956-2721
Mailing address
200 Theda Clark Medical PLZ
Suite 310
Neenah, WI 54956-2721
Phone (920) 722-7747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41925100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54 | WI | MD | School Counselor |
| 54023 | WI | MD | Pediatric Critical Care Medicine Physician |
| 054-023 | WI | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609835495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 THEDA CLARK MEDICAL PLZ",
"address_2": "SUITE 310",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562721",
"telephone_number": "920-722-7747",
"fax_number": "920-722-7863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 THEDA CLARK MEDICAL PLZ",
"address_2": "SUITE 310",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562721",
"telephone_number": "920-722-7747",
"fax_number": "920-722-7863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMMENS",
"first_name": "DANIEL",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PA-CU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WI",
"license": "054-023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41925100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.