MARIO RL VALENZUELA MD
NPI 1255436705
Psychiatry & Neurology - Psychiatry in Portage, WI

Q: What is Mario Valenzuela's NPI number?

The NPI number for Mario Valenzuela is 1255436705. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Q: What is Mario Valenzuela's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Mario Valenzuela was last updated on April 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 13, 2006PECOS Enrolled

2901 HUNTERS TRL, PORTAGE, WI 53901(608) 742-5518(608) 742-4087 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mario Rl Valenzuela Md NPPES

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

MARIO RL VALENZUELA MD (NPI 1255436705) is an individual psychiatry provider in Portage, Wisconsin, licensed in Wisconsin (41231020) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255436705

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMARIO RL VALENZUELACredential: MD

Location Address2901 HUNTERS TRLPortage, WI 53901-3403

Mailing Address2901 Hunters Trl, Po Box 301Portage, WI 53901-3403 · (608) 742-5518 · Fax (608) 742-4087

Phone(608) 742-5518

Fax(608) 742-4087

Sole ProprietorNo

Enumeration DateSeptember 13, 2006

Last NPPES UpdateApril 15, 2014

✔ NPI 1255436705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in WI · 41231020

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2901 HUNTERS TRL, Portage, WI 53901

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Other Identifiers 3

Medicare UPING99304WI

Medicaid32603500WI

Medicare ID-Type Unspecified0022WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mario Rl Valenzuela Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mario Valenzuela reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Sauk

16 mi

Community/Behavioral Health

505 BROADWAY ST
Baraboo, WI 53913

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Sauk County
17 clinicians in this Medicare group

NPI 1508915323 (608) 355-4200

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

Areas of Expertise CMS Part B claims

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

32 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53901 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

$163.24 typical visit price

range $53.90 – $163.24

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

Most-billed visit code 99205

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.

SUSAN I QUIRICONI MSW CICSW

Social Worker (Clinical)