Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa M Soboleski, PA

Individual provider Physician Assistant · NPI 1053427682

Lisa M Soboleski, PA is a Physician Assistant in Wauwatosa, Wisconsin. Qualified in 1992, 34 years ago. Practices with 16th Street Community Health Center Inc, a 84-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
34
Licensed in
WI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1220 Dewey Ave
Wauwatosa, WI 53213-2504
Phone: (414) 454-6600
Fax: (414) 454-6450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 763 (WI)

Record details

NPI number1053427682
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESMarch 19, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice 16th Street Community Health Center Inc. — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients35
Services billed 68 a service is one billed item, such as a visit, a test or a procedure
Average patient age61

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at 16th Street Community Health Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 84 clinicians in the practice; 12 are shown here.

Other providers in Wauwatosa