CARLOS X CONDADO CRNA
NPI 1205028768
Nurse Anesthetist, Certified Registered in Minocqua, WI

Q: What is Carlos Condado's NPI number?

The NPI number for Carlos Condado is 1205028768. It was assigned to this individual provider in the NPPES registry on August 17, 2007.

Q: What is Carlos Condado's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Condado was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since August 17, 2007Accepts Medicare Assignment

9576 HIGHWAY 70, MINOCQUA, WI 54548(715) 358-1000 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2024, Mar 10, 2023 (2 updates tracked since 2023).

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About Carlos X Condado Crna NPPES

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

CARLOS X CONDADO CRNA (NPI 1205028768) is an individual nurse anesthetist, certified registered in Minocqua, Wisconsin, licensed in Wisconsin (3967-33) and active in the NPI registry since August 2007. He is affiliated with Marshfield Medical Center - Minocqua and is a graduate of Other (1999).

NPPES Registry Identity

NPI1205028768

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameCARLOS X CONDADOCredential: CRNA

Location Address9576 HIGHWAY 70Minocqua, WI 54548-9067

Mailing Address9576 Hwy 70Minocqua, WI 54548-9067 · (715) 358-1000

Phone(715) 358-1000

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateAugust 17, 2007

Last NPPES UpdateOctober 31, 20252 updates tracked since enumeration

NPPES CertifiedOctober 31, 2025

✔ NPI 1205028768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in WI · 3967-33✔ Licensed in WI · 160332

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

9576 HIGHWAY 70, Minocqua, WI 54548

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Other Identifiers 1

Medicaid44350400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource (Common Ground Healthcare) and more.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

Carlos X Condado Crna 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 ID2860478690

PECOS Enrollment IDI20060313000396, I20160823000843, I20250929002292

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marshfield Medical Center - Minocqua

Acute Care Hospitals · Minocqua, WI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520212

Location9576 Highway 70Minocqua, WI 54548 · Oneida County

Emergency services Birthing friendly

Tamarack Health Ashland Medical Center

Critical Access Hospitals · Ashland, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521359

Location1615 Maple LaneAshland, WI 54806 · Ashland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54548 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

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.

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.

OGHOMWEN K SULE MD

Hospitalist