SHANE BREEZE-BALDAUF
NPI 1891159612
Family Medicine in Milwaukee, WI

Q: What is Shane Breeze-baldauf's NPI number?

The NPI number for Shane Breeze-baldauf is 1891159612. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Q: What is Shane Breeze-baldauf's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment

1575 N RIVERCENTER DR, MILWAUKEE, WI 53212(414) 283-8444(414) 274-5611 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2021, Aug 22, 2019 (2 updates tracked since 2019).

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About Shane Breeze-baldauf NPPES

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

SHANE BREEZE-BALDAUF (NPI 1891159612) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (68339) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1891159612

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSHANE BREEZE-BALDAUF

Location Address1575 N RIVERCENTER DRMilwaukee, WI 53212

Mailing Address1575 N Rivercenter DrMilwaukee, WI 53212-3978 · (414) 283-8444 · Fax (414) 274-5611

Phone(414) 283-8444

Fax(414) 274-5611

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2016

Enumeration DateApril 7, 2016

Last NPPES UpdateNovember 24, 20212 updates tracked since enumeration

NPPES CertifiedNovember 24, 2021

✔ NPI 1891159612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 68339

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1575 N RIVERCENTER DR, Milwaukee, WI 53212

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Secondary Practice Location 1

Location 18701 W Watertown Plank RdMilwaukee, WI 53226-3548 · Phone (414) 955-4575

Other Identifiers 1

Medicaid100073230WI

Accepted Insurance

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

Shane Breeze-baldauf 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 ID3375805351

PECOS Enrollment IDI20190821001795

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.

42 services36 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.

35 services18 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

27 services27 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.

17 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53212 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.

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.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$2.88 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.

MR. MICHAEL HOLYOKE

Student in an Organized Health Care Education/Training Program

1575 N RIVERCENTER DR
MILWAUKEE, WI 53212

Milwaukee County (414) 507-2047

ESTHER M. MOTLHATLHEDI M.D.

Family Medicine

1575 N RIVERCENTER DR
MILWAUKEE, WI 53212

Milwaukee County (414) 283-8444

MICHELLE M HOFMEISTER

Family Medicine

1575 N RIVERCENTER DR
MILWAUKEE, WI 53212

Milwaukee County (414) 283-8444

SARAH C FLYNN PHARMD

Pharmacist

1575 N RIVERCENTER DR
MILWAUKEE, WI 53212

Milwaukee County (414) 224-1555

KYLIE LOCHNER PA

Physician Assistant

1575 N RIVERCENTER DR
MILWAUKEE, WI 53212

Milwaukee County (414) 276-4242

DR. JOSEPH H MEHRING D.C.

Chiropractor

1575 N RIVERCENTER DR
MILWAUKEE, WI 53212

Milwaukee County (414) 283-8444

MS. TARA R. CHRISTENSEN-TOURTILLOTT PA-C

Physician Assistant

1575 N RIVERCENTER DR, SUITE 160
MILWAUKEE, WI 53212

Milwaukee County (414) 274-7220

TIMUR GUSOV MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1575 N RIVERCENTER DR
MILWAUKEE, WI 53212

Milwaukee County (414) 283-8444

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 Shane Breeze-baldauf's NPI number?

The NPI number for Shane Breeze-baldauf is 1891159612. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Shane Breeze-baldauf located?

Shane Breeze-baldauf practices at 1575 N Rivercenter Dr, Milwaukee, WI 53212. The listed phone number is (414) 283-8444.

What is Shane Breeze-baldauf's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shane Breeze-baldauf enrolled in Medicare?

Yes. Shane Breeze-baldauf 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 Shane Breeze-baldauf accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Shane Breeze-baldauf 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 Shane Breeze-baldauf affiliated with any hospitals?

According to CMS data, Shane Breeze-baldauf is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Shane Breeze-baldauf was last updated on November 24, 2021. 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.