KELLY R POOLE PAC
NPI 1518076173
Physician Assistant in Wausau, WI
About Kelly R Poole Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY R POOLE PAC (NPI 1518076173) is an individual physician assistant in Wausau, Wisconsin, licensed in Wisconsin (1097) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Kelly R Poole Pac 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marshfield Medical Center
Acute Care Hospitals · Marshfield, WIMarshfield Medical Center - Weston
Acute Care Hospitals · Weston, WIPhysician 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.
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.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Poole's NPI number?
The NPI number for Kelly Poole is 1518076173. It was assigned to this individual provider in the NPPES registry on August 29, 2006.
Where is Kelly Poole located?
Kelly Poole practices at 2727 Plaza Drive, Wausau, WI 54401. The listed phone number is (715) 847-3281.
What is Kelly Poole's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kelly Poole enrolled in Medicare?
Yes. Kelly Poole 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 Kelly Poole accept?
Health plans from Anthem Blue Cross and Blue Shield, Medica, Sanford Health Plan and Security Health Plan list Kelly Poole 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 Kelly Poole affiliated with any hospitals?
According to CMS data, Kelly Poole is affiliated with Marshfield Medical Center and Marshfield Medical Center - Weston.
When was this NPI record last updated?
The NPPES record for Kelly Poole was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Kelly R Poole, PAC · NPI 1518076173
Physician Assistant physician in Wausau, Wisconsin. Individual provider, active in the CMS NPPES registry since August 29, 2006.
## Identity
- **NPI:** 1518076173 (Entity type: Individual)
- **Enumerated:** August 29, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 1097 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2727 PLAZA DRIVE, Wausau, WI 54401
- **Phone:** (715) 847-3281
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 42985900 (WI); Medicare UPIN S74190
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Source: [NPI Profile](https://npiprofile.com/npi/1518076173) · Data from the CMS NPPES public registry.