Individual provider Active NPI

Mollie Mae Wittlin Salisz, PA-C

  • Physician Assistant
  • Cedarburg, WI
National Provider Identifier
1760746424
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2934-23 Issued in WI
Practice address
N27W5707 Lincoln Blvd
Cedarburg, WI 53012-2852
Phone
(262) 376-7676
NPI assigned
Jun 27, 2012
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2934-23 WI Primary

Addresses

Primary practice location

N27W5707 Lincoln Blvd
Cedarburg, WI 53012-2852

Mailing address

3209 Willowgate Pass
Colgate, WI 53017-9347

Other names 1

  • Mollie Mae Wittlin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120910000889 WI Practitioner - Physician Assistant 8921256371 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Nov 14, 2023 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Nov 28, 2020 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Nov 28, 2020 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Physician Assistant CurrentSince May 19, 2023 Accepting new patients

Locations

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

N27W5707 Lincoln Blvd
Cedarburg, WI 53012
Phone (262) 376-7676

W173N10915 Bernies Way
Germantown, WI 53022
Phone (262) 509-3300

5404 W Loomis Rd
Greendale, WI 53129
Phone (414) 329-4979

N84W17049 Menomonee Ave
Menomonee Fls, WI 53051
Phone (262) 255-1180

6201 Elmwood Ave
Middleton, WI 53562
Phone (608) 830-5141

2730 W Ramsey Ave
Milwaukee, WI 53221
Phone (414) 282-2600

6735 W Bradley Rd
Milwaukee, WI 53223
Phone (414) 354-3300

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

1119 N Wisconsin St
Port Washington, WI 53074
Phone (262) 284-5872

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1760746424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 WILLOWGATE PASS",
            "city": "COLGATE",
            "state": "WI",
            "postal_code": "530179347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N27W5707 LINCOLN BLVD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122852",
            "telephone_number": "262-376-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALISZ",
        "first_name": "MOLLIE",
        "middle_name": "MAE WITTLIN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2934-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLIE",
            "last_name": "WITTLIN",
            "middle_name": "MAE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedarburg, WI

Sources for this page

Verify at the official NPI Registry.