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MARY ALICE MUTH APNP
NPI 1669577482
Nurse Practitioner in New Berlin, WI

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
13750 W NATIONAL AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC., NEW BERLIN, WI 53151(262) 789-1699 Get Directions Write a Review

NPPES record last updated: January 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Alice Muth Apnp NPPES

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

MARY ALICE MUTH APNP (NPI 1669577482) is an individual nurse practitioner in New Berlin, Wisconsin, licensed in Wisconsin (2862-033) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2005).

NPPES Registry Identity

NPI1669577482
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY ALICE MUTHCredential: APNP
Location Address13750 W NATIONAL AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC.New Berlin, WI 53151-4588
Mailing Address13750 W National Ave, Prohealth Care Medical Associates Inc.New Berlin, WI 53151-4588 · (262) 789-1699
Phone(262) 789-1699
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2005
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJanuary 7, 2014
✔ NPI 1669577482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 2862-033
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 126341-30 (WI)
13750 W NATIONAL AVE, New Berlin, WI 53151
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Other Identifiers 3

Medicare PIN02120-0309WI
Medicare PIN68375WI
Medicare PIN68015-0110WI

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

Mary Alice Muth Apnp 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 ID3274538830
PECOS Enrollment IDI20061003000678
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 4

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.
101 services83 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.
91 services81 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
13 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 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 53151 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.

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 Mary Muth's NPI number?

The NPI number for Mary Muth is 1669577482. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Mary Muth located?

Mary Muth practices at 13750 W National Ave Prohealth Care Medical Associates Inc., New Berlin, WI 53151. The listed phone number is (262) 789-1699.

What is Mary Muth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Muth enrolled in Medicare?

Yes. Mary Muth 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 Mary Muth accept?

Health plans from Network Health list Mary Muth 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 Mary Muth affiliated with any hospitals?

According to CMS data, Mary Muth is affiliated with Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mary Muth was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.