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

Active since August 17, 2007PECOS EnrolledAccepts 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: November 01, 2026.

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

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 enrolled in Medicare PECOS, 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
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

Other Identifiers 1

Medicaid44350400WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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, I20250929002292
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.

Medicare Billing Reassignments

20

Medicare enrollment records show Carlos Condado reassigns Medicare billing to 20 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
240 MAPLE ST
Woodruff, WI 54568
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
240 MAPLE ST
Woodruff, WI 54568
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
  • 32 clinicians in this Medicare group
Clinic/Center
9576 HIGHWAY 70
Minocqua, WI 54548
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
1630 N CHIPPEWA DRIVE
Rhinelander, WI 54501
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin
  • Also billed through NPI 1821151366 (Wisconsin)
  • 321 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
Rural Health
N10565 GRANDVIEW LN
Ironwood, MI 49938
  • Reassigned Medicare billing, Michigan enrollment
  • 264 clinicians in this Medicare group
Surgery
E6112 E BLUFFVIEW RD
Ironwood, MI 49938
  • Reassigned Medicare billing, Michigan enrollment
  • 244 clinicians in this Medicare group
Hospice Care, Community Based
3257 E US HIGHWAY 2
Iron River, MI 49935
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1457865198 (Michigan)
  • 200 clinicians in this Medicare group
Gastroenterology
411 WESTWOOD DR
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • 54 clinicians in this Medicare group
Podiatric
3200 WESTHILL DR STE 2200
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Aspirus Riverview Hospital & Clinics Inc
  • 397 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Hospitalist
9576 HIGHWAY 70
MINOCQUA, WI 54548
Nurse Practitioner (Adult Health)
9576 HIGHWAY 70
MINOCQUA, WI 54548
Physician Assistant (Medical)
9576 HIGHWAY 70
MINOCQUA, WI 54548
Physician Assistant
9576 HIGHWAY 70
MINOCQUA, WI 54548
Nurse Anesthetist, Certified Registered
9576 HIGHWAY 70
MINOCQUA, WI 54548
Emergency Medicine
9576 HIGHWAY 70
MINOCQUA, WI 54548
Nurse Practitioner
9576 HIGHWAY 70
MINOCQUA, WI 54548
Radiology (Diagnostic Radiology)
9576 HIGHWAY 70
MINOCQUA, WI 54548

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 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.

Where is Carlos Condado located?

Carlos Condado practices at 9576 Highway 70, Minocqua, WI 54548. The listed phone number is (715) 358-1000.

What is Carlos Condado's specialty?

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

Is Carlos Condado enrolled in Medicare?

Yes. Carlos Condado 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.

Which organizations bill Medicare for Carlos Condado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Condado reassigns Medicare benefits to 20 organizations: Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Woodruff, WI), The Howard Young Medical Center, Inc. (Woodruff, WI), Mchs Hospitals Inc (Minocqua, WI), Aspirus Medical Group, Inc. (Rhinelander, WI), Flambeau Hospital Inc (Park Falls, WI) and 15 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Condado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Condado accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and Sanford Health Plan list Carlos Condado 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 Carlos Condado affiliated with any hospitals?

According to CMS data, Carlos Condado is affiliated with Marshfield Medical Center - Minocqua and Tamarack Health Ashland Medical Center.

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 12 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.