BRENDA K BALTHAZOR PA
NPI 1851316871
Physician Assistant - Medical in Wausau, WI
About Brenda K Balthazor Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENDA K BALTHAZOR PA (NPI 1851316871) is an individual medical provider in Wausau, Wisconsin, licensed in Wisconsin (186923) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
Brenda K Balthazor 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.
Areas of Expertise CMS Part B claims 9
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.
Aspirus Wausau Hospital
Acute Care Hospitals · Wausau, WILanglade Hospital
Critical Access Hospitals · Antigo, WIMedicare 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 20
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 Brenda Balthazor's NPI number?
The NPI number for Brenda Balthazor is 1851316871. It was assigned to this individual provider in the NPPES registry on July 12, 2006.
Where is Brenda Balthazor located?
Brenda Balthazor practices at 512 S 28th Ave, Wausau, WI 54401. The listed phone number is (715) 847-2021.
What is Brenda Balthazor's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Brenda Balthazor enrolled in Medicare?
Yes. Brenda Balthazor 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 Brenda Balthazor accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Brenda Balthazor 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 Brenda Balthazor affiliated with any hospitals?
According to CMS data, Brenda Balthazor is affiliated with Aspirus Wausau Hospital and Langlade Hospital.
When was this NPI record last updated?
The NPPES record for Brenda Balthazor was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.