CONNIE METZ FNP-BC
NPI 1265831226
Nurse Practitioner - Family in Wausau, WI

Active since August 15, 2014PECOS EnrolledAccepts Medicare Assignment
83.72/100
CMS Quality Rating
425 PINE RIDGE BLVD, STE 200, WAUSAU, WI 54401(715) 847-2480(715) 847-2481 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connie Metz Fnp-bc NPPES

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

CONNIE METZ FNP-BC (NPI 1265831226) is an individual family provider in Wausau, Wisconsin, licensed in Wisconsin (5874-33) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265831226
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCONNIE METZCredential: FNP-BC
Location Address425 PINE RIDGE BLVD, STE 200Wausau, WI 54401-4123
Mailing Address425 Pine Ridge Blvd, Ste 200Wausau, WI 54401 · (715) 847-2480 · Fax (715) 847-2481
Fax(715) 847-2481
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 15, 2014
NPI 1265831226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 5874-33
425 PINE RIDGE BLVD, Wausau, WI 54401

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

Connie Metz Fnp-bc 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 ID8729207956
PECOS Enrollment IDI20140919000918
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 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.
287 services277 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
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.
46 services40 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.
44 services44 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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.

83.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.54
Promoting Interoperability100
Improvement Activities40
Cost58.37

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
14 suppliers266 claims266 services$41.39 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
15 suppliers295 claims296 services$102.29 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
16 suppliers313 claims694 services$38.56 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers57 claims280 services$21.96 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers40 claims193 services$16.32 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers117 claims117 services$58.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
425 PINE RIDGE BLVD, STE 211
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401
Plastic Surgery
425 PINE RIDGE BLVD, SUITE 205
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401
Clinic/Center
425 PINE RIDGE BLVD, SUITE 220A
WAUSAU, WI 54401
Anesthesiology
425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, STE 211
WAUSAU, WI 54401
Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401

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 Connie Metz's NPI number?

The NPI number for Connie Metz is 1265831226. It was assigned to this individual provider in the NPPES registry on August 15, 2014.

Where is Connie Metz located?

Connie Metz practices at 425 Pine Ridge Blvd Ste 200, Wausau, WI 54401. The listed phone number is (715) 847-2480.

What is Connie Metz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Connie Metz enrolled in Medicare?

Yes. Connie Metz 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 Connie Metz accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Connie Metz 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 Connie Metz affiliated with any hospitals?

According to CMS data, Connie Metz is affiliated with Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Connie Metz was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.