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BARBARA HUGHES NP
NPI 1457911265
Nurse Practitioner - Family in Waukesha, WI

Active since June 14, 2019PECOS EnrolledAccepts Medicare Assignment
721 AMERICAN AVE STE 108, WAUKESHA, WI 53188(262) 928-8200(262) 928-8699 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2021, Jul 22, 2021, May 11, 2021 and 2 more (5 updates tracked since 2019).

About Barbara Hughes Np NPPES

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

BARBARA HUGHES NP (NPI 1457911265) is an individual family provider in Waukesha, Wisconsin, licensed in Wisconsin (9793) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1457911265
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBARBARA HUGHESCredential: NP
Location Address721 AMERICAN AVE STE 108Waukesha, WI 53188-5071
Mailing Address721 American Ave Ste 108Waukesha, WI 53188-5071 · (262) 928-8200 · Fax (262) 928-8699
Phone(262) 928-8200
Fax(262) 928-8699
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 14, 2019
Last NPPES UpdateSeptember 27, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1457911265 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 · 9793
721 AMERICAN AVE STE 108, Waukesha, WI 53188
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.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

Barbara Hughes Np 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 ID5698186484
PECOS Enrollment IDI20210305001660
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 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.
104 services78 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.
51 services47 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.
23 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDY L GEHRING MD
Neurological Surgery
721 AMERICAN AVE STE 108
WAUKESHA, WI 53188
Waukesha County (262) 928-8200
PETER HAAN JOHNSON M.D.
Internal Medicine (Hematology & Oncology)
721 AMERICAN AVE STE 108, PROHEALTH CARE REGIONAL CANCER CENTER
WAUKESHA, WI 53188
Waukesha County (262) 928-5350
JEFFREY LAWRENCE CRECELIUS MD
Neurological Surgery
721 AMERICAN AVE STE 108
WAUKESHA, WI 53188
Waukesha County (262) 928-8200
TATYANA M GERACHSHENKO MD,PHD
Physical Medicine & Rehabilitation
721 AMERICAN AVE STE 108
WAUKESHA, WI 53188
Waukesha County (262) 928-8200
DR. LAURA LYNN RAFTERY M.D.
Internal Medicine (Hematology & Oncology)
721 AMERICAN AVE STE 108, PROHEALTH CARE REGIONAL CANCER CENTER
WAUKESHA, WI 53188
Waukesha County (262) 928-2570

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 Barbara Hughes's NPI number?

The NPI number for Barbara Hughes is 1457911265. It was assigned to this individual provider in the NPPES registry on June 14, 2019.

Where is Barbara Hughes located?

Barbara Hughes practices at 721 American Ave Ste 108, Waukesha, WI 53188. The listed phone number is (262) 928-8200.

What is Barbara Hughes's specialty?

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

Is Barbara Hughes enrolled in Medicare?

Yes. Barbara Hughes 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 Barbara Hughes accept?

Health plans from Network Health list Barbara Hughes 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 Barbara Hughes affiliated with any hospitals?

According to CMS data, Barbara Hughes is affiliated with Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Barbara Hughes was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.