ALETHIA F HUGHES PA-C
NPI 1669649919
Physician Assistant in Appleton, WI

Q: What is Alethia Hughes's NPI number?

The NPI number for Alethia Hughes is 1669649919. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Q: What is Alethia Hughes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alethia Hughes was last updated on June 21, 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.

Active since May 14, 2008PECOS EnrolledAccepts Medicare Assignment

247 S NICOLET RD, APPLETON, WI 54914(888) 938-3838(888) 919-1083 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alethia F Hughes Pa-c NPPES

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

ALETHIA F HUGHES PA-C (NPI 1669649919) is an individual physician assistant in Appleton, Wisconsin, licensed in Wisconsin (2223) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Mercy College (2007).

NPPES Registry Identity

NPI1669649919

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALETHIA F HUGHESCredential: PA-C

Location Address247 S NICOLET RDAppleton, WI 54914-3938

Mailing Address10001 W Innovation Dr Ste 200Milwaukee, WI 53226-4851 · (888) 938-3838 · Fax (888) 919-1083

Phone(888) 938-3838

Fax(888) 919-1083

Sole ProprietorNo

Medical School CMSMercy CollegeGraduated 2007

Enumeration DateMay 14, 2008

Last NPPES UpdateJune 21, 2022

NPPES CertifiedJune 21, 2022

✔ NPI 1669649919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 2223

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.

247 S NICOLET RD, Appleton, WI 54914

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), 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

Alethia F Hughes Pa-c 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 ID9739259805

PECOS Enrollment IDI20080602000069

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.

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

37 services37 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54914 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.

Other Providers at the Same Location NPPES 7

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

NICOLE MAE MCINTYRE PA-C

Physician Assistant