1. Home
  2. Directory
  3. Wisconsin
  4. Marshfield
  5. Physician Assistant
  6. NPI Profile

DARAYU C BOLTAEVA DMS, PA-C
NPI 1912714692
Physician Assistant - Surgical in Marshfield, WI

Active since December 16, 2024PECOS EnrolledAccepts Medicare Assignment
1000 N OAK AVE, MARSHFIELD, WI 54449(800) 782-8581 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2025, Dec 16, 2024 (2 updates tracked since 2024).

About Darayu C Boltaeva Dms, Pa-c NPPES

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

DARAYU C BOLTAEVA DMS, PA-C (NPI 1912714692) is an individual surgical provider in Marshfield, Wisconsin, licensed in Wisconsin (8239) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1912714692
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDARAYU C BOLTAEVACredential: DMS, PA-C
Location Address1000 N OAK AVEMarshfield, WI 54449-5703
Mailing Address1000 N Oak AveMarshfield, WI 54449-5702
Phone(800) 782-8581
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 16, 2024
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1912714692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WI · 8239
Also ListedPhysician AssistantTaxonomy 363A00000X
1000 N OAK AVE, Marshfield, WI 54449
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners.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

Darayu C Boltaeva Dms, 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 ID4284157264
PECOS Enrollment IDI20250331002514
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.

Hospital Affiliations CMS Care Compare 3

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Eau Claire

Acute Care Hospitals · Eau Claire, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520210
Location2310 Craig RdEau Claire, WI 54701 · Eau Claire County
Emergency services Birthing friendly

Marshfield Medical Center - Ladysmith

Critical Access Hospitals · Ladysmith, WI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number521328
Location1200 Port Arthur RdLadysmith, WI 54848 · Rusk County
Emergency services

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.

ALISON RAE SAMPSON D.O.
Obstetrics & Gynecology
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5161
TAMARA L. LEAHY NP
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (800) 782-8581
SAMANTHA ELAINE MOORE RD, CD, CDCES
Dietitian, Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 389-7464
EUGENE H. LARSON PA
Physician Assistant
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5245
JAMES SKIBBA CRNA
Nurse Anesthetist, Certified Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-7179
KENNETH E ENGELHART MD
Internal Medicine
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5704
KRISTIN M GERNDT MD
Radiology (Vascular & Interventional Radiology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 389-3474
VIRGINIA WOOLWORTH NP
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5558

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 Darayu Boltaeva's NPI number?

The NPI number for Darayu Boltaeva is 1912714692. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Where is Darayu Boltaeva located?

Darayu Boltaeva practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (800) 782-8581.

What is Darayu Boltaeva's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Darayu Boltaeva enrolled in Medicare?

Yes. Darayu Boltaeva 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 Darayu Boltaeva accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Darayu Boltaeva 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 Darayu Boltaeva affiliated with any hospitals?

According to CMS data, Darayu Boltaeva is affiliated with Marshfield Medical Center, Marshfield Medical Center - Eau Claire and Marshfield Medical Center - Ladysmith.

When was this NPI record last updated?

The NPPES record for Darayu Boltaeva was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.