SONIA P SALAZAR PA-C
NPI 1124460365
Physician Assistant in Mequon, WI

Active since July 29, 2013PECOS EnrolledAccepts Medicare Assignment
91.74/100
CMS Quality Rating
6425 W MEQUON RD, MEQUON, WI 53092(262) 387-8200 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sonia P Salazar Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SONIA P SALAZAR PA-C (NPI 1124460365) is an individual physician assistant in Mequon, Wisconsin, licensed in Wisconsin (3166-23) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Milwaukee, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1124460365
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSONIA P SALAZARCredential: PA-C
Location Address6425 W MEQUON RDMequon, WI 53092-1862
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 29, 2013
Last NPPES UpdateOctober 2, 2024
NPPES CertifiedOctober 2, 2024
NPI 1124460365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 3166-23
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6425 W MEQUON RD, Mequon, WI 53092

Secondary Practice Location 1

Location 12323 N Lake DrMilwaukee, WI 53211-4508 · Phone (414) 290-6720 · Fax (414) 290-6755

Other Identifiers 1

Medicaid100032216WI

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

Sonia P Salazar Pa-c 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.

PECOS PAC ID941444079
PECOS Enrollment IDI20130911000550
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services12 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
12 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.9
Improvement Activities40
Cost70.34

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.

Clinical Medical Laboratory
6425 W MEQUON RD
MEQUON, WI 53092
Family Medicine
6425 W MEQUON RD
MEQUON, WI 53092
Nurse Practitioner
6425 W MEQUON RD
MEQUON, WI 53092
Nurse Practitioner
6425 W MEQUON RD
MEQUON, WI 53092
Family Medicine
6425 W MEQUON RD
MEQUON, WI 53092
Physician Assistant
6425 W MEQUON RD
MEQUON, WI 53092
Physician Assistant
6425 W MEQUON RD
MEQUON, WI 53092
Family Medicine
6425 W MEQUON RD
MEQUON, WI 53092

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 Sonia Salazar's NPI number?

The NPI number for Sonia Salazar is 1124460365. It was assigned to this individual provider in the NPPES registry on July 29, 2013.

Where is Sonia Salazar located?

Sonia Salazar practices at 6425 W Mequon Rd, Mequon, WI 53092. The listed phone number is (262) 387-8200.

What is Sonia Salazar's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sonia Salazar enrolled in Medicare?

Yes. Sonia Salazar 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 Sonia Salazar accept?

Health plans from CareSource (Common Ground Healthcare) list Sonia Salazar 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.

When was this NPI record last updated?

The NPPES record for Sonia Salazar was last updated on October 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.