AUSTIN GILBERT NURSE PRACTITIONER
NPI 1114226404
Nurse Practitioner - Primary Care in Wausau, WI
About Austin Gilbert Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUSTIN GILBERT NURSE PRACTITIONER (NPI 1114226404) is an individual primary care provider in Wausau, Wisconsin, licensed in Wisconsin (13255-33) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Austin Gilbert Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aspirus Rhinelander Hospital
Acute Care Hospitals · Rhinelander, WIAspirus Wausau Hospital
Acute Care Hospitals · Wausau, WIHoward Young Medical Center
Acute Care Hospitals · Woodruff, WIAspirus Eagle River Hospital
Critical Access Hospitals · Eagle River, WIAspirus Merrill Hospital
Critical Access Hospitals · Merrill, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAUSAU, WI 54401
WAUSAU, WI 54401
WAUSAU, WI 54401
WAUSAU, WI 54401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Austin Gilbert's NPI number?
The NPI number for Austin Gilbert is 1114226404. It was assigned to this individual provider in the NPPES registry on March 25, 2011.
Where is Austin Gilbert located?
Austin Gilbert practices at 500 Wind Ridge Dr, Wausau, WI 54401. The listed phone number is (715) 847-2611.
What is Austin Gilbert's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Austin Gilbert enrolled in Medicare?
Yes. Austin Gilbert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Austin Gilbert accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Austin Gilbert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Austin Gilbert affiliated with any hospitals?
According to CMS data, Austin Gilbert is affiliated with Aspirus Rhinelander Hospital, Aspirus Wausau Hospital, Howard Young Medical Center, Aspirus Eagle River Hospital and Aspirus Merrill Hospital.
When was this NPI record last updated?
The NPPES record for Austin Gilbert was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Austin Gilbert, NURSE PRACTITIONER · NPI 1114226404
Primary Care physician in Wausau, Wisconsin. Individual provider, active in the CMS NPPES registry since March 25, 2011.
## Identity
- **NPI:** 1114226404 (Entity type: Individual)
- **Enumerated:** March 25, 2011
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 13255-33 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 500 WIND RIDGE DR, Wausau, WI 54401-4173
- **Phone:** (715) 847-2611
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1114226404) · Data from the CMS NPPES public registry.