GAIL MARION MARQUARDT
NPI 1609503085
Nurse Practitioner - Adult Health in Wausau, WI
About Gail Marion Marquardt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAIL MARION MARQUARDT (NPI 1609503085) is an individual adult health provider in Wausau, Wisconsin, licensed in Wisconsin (13055) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Gail Marion Marquardt 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 3
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.
Ascension NE Wisconsin - St Elizabeth Campus
Acute Care Hospitals · Appleton, WIThedacare Regional Medical Center - Appleton Inc
Acute Care Hospitals · Appleton, 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 14
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 Gail Marquardt's NPI number?
The NPI number for Gail Marquardt is 1609503085. It was assigned to this individual provider in the NPPES registry on August 4, 2022. The provider is also known as Gail Marion Marquardt-Kujawa.
Where is Gail Marquardt located?
Gail Marquardt practices at 215 N 28th Ave, Wausau, WI 54401. The listed phone number is (715) 847-2000.
What is Gail Marquardt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Gail Marquardt enrolled in Medicare?
Yes. Gail Marquardt 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 Gail Marquardt accept?
Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Gail Marquardt 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 Gail Marquardt affiliated with any hospitals?
According to CMS data, Gail Marquardt is affiliated with Ascension NE Wisconsin - St Elizabeth Campus and Thedacare Regional Medical Center - Appleton Inc.
When was this NPI record last updated?
The NPPES record for Gail Marquardt was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Gail Marion Marquardt · NPI 1609503085
Adult Health physician in Wausau, Wisconsin. Individual provider, active in the CMS NPPES registry since August 4, 2022.
## Identity
- **NPI:** 1609503085 (Entity type: Individual)
- **Enumerated:** August 4, 2022
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 13055 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 215 N 28TH AVE, Wausau, WI 54401-4100
- **Phone:** (715) 847-2000
## 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 2022
## Record status
- **NPPES last updated:** November 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609503085) · Data from the CMS NPPES public registry.