MARY KATE BANIEL PA-C
NPI 1912568627
Physician Assistant in Reedsburg, WI

Active since June 24, 2019PECOS EnrolledAccepts Medicare Assignment
2000 N DEWEY AVE, REEDSBURG, WI 53959(414) 852-1726 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Kate Baniel Pa-c NPPES

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

MARY KATE BANIEL PA-C (NPI 1912568627) is an individual physician assistant in Reedsburg, Wisconsin, licensed in Wisconsin (4723-23) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1912568627
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY KATE BANIELCredential: PA-C
Location Address2000 N DEWEY AVEReedsburg, WI 53959-1049
Mailing Address9615 Harvest Moon Ln Apt 302Verona, WI 53593-9676
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 24, 2019
NPI 1912568627 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 · 4723-23
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.

2000 N DEWEY AVE, Reedsburg, WI 53959

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

Mary Kate Baniel 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 ID3577898352
PECOS Enrollment IDI20190716002912
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.
230 services133 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.
85 services64 patients
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.
79 services41 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.
26 services20 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 53959 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 20

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

Dietitian, Registered
2000 N DEWEY AVE
REEDSBURG, WI 53959
General Acute Care Hospital (Critical Access)
2000 N DEWEY AVE
REEDSBURG, WI 53959
Physician Assistant
2000 N DEWEY AVE
REEDSBURG, WI 53959
Pharmacy (Community/Retail Pharmacy)
2000 N DEWEY AVE
REEDSBURG, WI 53959
Pharmacist
2000 N DEWEY AVE
REEDSBURG, WI 53959
Orthopaedic Surgery
2000 N DEWEY AVE
REEDSBURG, WI 53959
Ophthalmology
2000 N DEWEY AVE
REEDSBURG, WI 53959
Specialist/Technologist (Athletic Trainer)
2000 N DEWEY AVE
REEDSBURG, WI 53959

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 Baniel's NPI number?

The NPI number for Mary Baniel is 1912568627. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Mary Baniel located?

Mary Baniel practices at 2000 N Dewey Ave, Reedsburg, WI 53959. The listed phone number is (414) 852-1726.

What is Mary Baniel's specialty?

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

Is Mary Baniel enrolled in Medicare?

Yes. Mary Baniel 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 Baniel accept?

Health plans from UnitedHealthcare list Mary Baniel 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 Baniel affiliated with any hospitals?

According to CMS data, Mary Baniel is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mary Baniel was last updated on June 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.