BRANDON BALTZ PA-C
NPI 1366314254
Physician Assistant in Wausau, WI

Q: What is Brandon Baltz's NPI number?

The NPI number for Brandon Baltz is 1366314254. It was assigned to this individual provider in the NPPES registry on September 19, 2025.

Q: What is Brandon Baltz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Baltz was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 19, 2025PECOS Enrolled

2400 PINE RIDGE BLVD, WAUSAU, WI 54401(715) 847-2022 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Apr 3, 2026, Sep 19, 2025 (3 updates tracked since 2025).

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About Brandon Baltz Pa-c NPPES

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

BRANDON BALTZ PA-C (NPI 1366314254) is an individual physician assistant in Wausau, Wisconsin, licensed in Wisconsin (8871) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1366314254

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBRANDON BALTZCredential: PA-C

Location Address2400 PINE RIDGE BLVDWausau, WI 54401-7803

Mailing Address2400 Pine Ridge BlvdWausau, WI 54401-7803 · (715) 847-2022

Phone(715) 847-2022

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2025

Enumeration DateSeptember 19, 2025

Last NPPES UpdateMay 13, 20263 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1366314254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 8871

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 085.011659 (IL)

2400 PINE RIDGE BLVD, Wausau, WI 54401

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Secondary Practice Location 1

Location 12003 W Fulton StChicago, IL 60612-2345 · Phone (312) 243-2223

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Baltz Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375030844

PECOS Enrollment IDI20251017000133, I20260518000608

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.

Hospital Affiliations CMS Care Compare

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140252

Location800 W Central RoadArlington Heights, IL 60005 · Cook 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

$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.

MS. KATHY LYNNE OBERMANN ANP-BC APNP

Nurse Practitioner