CARL HENRY ZONDLO
NPI 1215549852
Nurse Anesthetist, Certified Registered in Medford, WI

Active since August 17, 2020Accepts Medicare Assignment
100/100
CMS Quality Rating
135 S GIBSON ST, MEDFORD, WI 54451(715) 748-8100 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 25, 2024, Aug 17, 2020 (2 updates tracked since 2020).

About Carl Henry Zondlo NPPES

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

CARL HENRY ZONDLO (NPI 1215549852) is an individual nurse anesthetist, certified registered in Medford, Wisconsin, licensed in Wisconsin (NA) and active in the NPI registry since August 2020. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1215549852
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCARL HENRY ZONDLO
Location Address135 S GIBSON STMedford, WI 54451-1622
Mailing AddressN3445 Woodland RdMedford, WI 54451-8654 · (715) 965-3694
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 17, 2020
Last NPPES UpdateApril 25, 20242 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
NPI 1215549852 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
License Licensed in WI · NA
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.

135 S GIBSON ST, Medford, WI 54451

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

Carl Henry Zondlo 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 ID1052725066
PECOS Enrollment IDI20210203001663

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54451 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
135 S GIBSON ST
MEDFORD, WI 54451
Physical Therapist
135 S GIBSON ST
MEDFORD, WI 54451
Nurse Anesthetist, Certified Registered
135 S GIBSON ST
MEDFORD, WI 54451
Non-Pharmacy Dispensing Site
135 S GIBSON ST
MEDFORD, WI 54451
Clinic/Center
135 S GIBSON ST
MEDFORD, WI 54451
Occupational Therapist
135 S GIBSON ST
MEDFORD, WI 54451
Dietitian, Registered
135 S GIBSON ST
MEDFORD, WI 54451
Nurse Practitioner (Family)
135 S GIBSON ST
MEDFORD, WI 54451

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215549852, enumerated as an "individual" on August 17, 2020.

The provider is located at 135 S GIBSON ST MEDFORD, WI 54451 and the phone number is (715) 748-8100.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.