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EMILY THEREAS HETZEL PA
NPI 1639787104
Physician Assistant in Waukesha, WI

Active since July 21, 2020PECOS EnrolledAccepts Medicare Assignment
725 AMERICAN AVE, WAUKESHA, WI 53188(262) 928-8800 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 1, 2022, May 12, 2021, Jul 21, 2020 (3 updates tracked since 2020).

About Emily Thereas Hetzel Pa NPPES

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

EMILY THEREAS HETZEL PA (NPI 1639787104) is an individual physician assistant in Waukesha, Wisconsin, licensed in Wisconsin (5243) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639787104
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMILY THEREAS HETZELCredential: PA
Location Address725 AMERICAN AVEWaukesha, WI 53188-5031
Mailing Address725 American AveWaukesha, WI 53188-5031 · (262) 928-8800
Phone(262) 928-8800
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 21, 2020
Last NPPES UpdateAugust 1, 20223 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
✔ NPI 1639787104 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 · 5243
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
725 AMERICAN AVE, Waukesha, WI 53188
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Other Names 1

Former Name (1)Emily Thereas Powers Pa

Accepted Insurance

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

Emily Thereas Hetzel Pa 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 ID3173935020
PECOS Enrollment IDI20201217000243
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.
174 services147 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
55 services41 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.
52 services49 patients
Programming of multiple lead implantable defibrillator system 93284
Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.
14 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · 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
$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.

Referred Medical Equipment & Supplies CMS DME claims

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier20 claims20 services$2,141.54 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.

MS. NATASHA JEAN PINKERTON LCSW
Social Worker (Clinical)
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000
DR. FRANCISCO PEREZ M.D.
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 544-2011
ANNETTE QUINN NP
Nurse Practitioner (Obstetrics & Gynecology)
725 AMERICAN AVE, PROHEALTH CARE WOMEN'S CENTER
WAUKESHA, WI 53188
Waukesha County (262) 928-3500
ELIZABETH ROSE LEMM PA-C
Physician Assistant
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000
DR. JASON GEORGE ULRICHS M.D.
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 787-6700
DAWN MICHELLE GOODREAU NNP-BC, APNP
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (210) 685-0887
KAYLA DAVIS APNP
Nurse Practitioner (Acute Care)
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000
DR. ALYSSA JELINEK
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188
Waukesha County (262) 928-1000

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 Emily Hetzel's NPI number?

The NPI number for Emily Hetzel is 1639787104. It was assigned to this individual provider in the NPPES registry on July 21, 2020. The provider is also known as Emily Thereas Powers PA.

Where is Emily Hetzel located?

Emily Hetzel practices at 725 American Ave, Waukesha, WI 53188. The listed phone number is (262) 928-8800.

What is Emily Hetzel's specialty?

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

Is Emily Hetzel enrolled in Medicare?

Yes. Emily Hetzel 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 Emily Hetzel accept?

Health plans from Network Health and UnitedHealthcare list Emily Hetzel 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 Emily Hetzel affiliated with any hospitals?

According to CMS data, Emily Hetzel is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Emily Hetzel was last updated on August 1, 2022. 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.