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MR. BRAEDON FRANCIS WIESELER PA-C
NPI 1992345177
Physician Assistant in Chicago, IL

Active since January 15, 2020PECOS EnrolledAccepts Medicare Assignment
1702 N MILWAUKEE AVE, CHICAGO, IL 55901 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Braedon Francis Wieseler Pa-c NPPES

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

MR. BRAEDON FRANCIS WIESELER PA-C (NPI 1992345177) is an individual physician assistant in Chicago, Illinois and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1992345177
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BRAEDON FRANCIS WIESELERCredential: PA-C
Location Address1702 N MILWAUKEE AVEChicago, IL 55901
Mailing Address1414 26th St NwRochester, MN 55901 · (507) 358-9556
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 15, 2020
✔ NPI 1992345177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1702 N MILWAUKEE AVE, Chicago, IL 55901
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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

Mr. Braedon Francis Wieseler 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 ID2365879764
PECOS Enrollment IDI20200225000917
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

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.

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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55901 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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 Braedon Wieseler's NPI number?

The NPI number for Braedon Wieseler is 1992345177. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Braedon Wieseler located?

Braedon Wieseler practices at 1702 N Milwaukee Ave, Chicago, IL 55901.

What is Braedon Wieseler's specialty?

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

Is Braedon Wieseler enrolled in Medicare?

Yes. Braedon Wieseler 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.

When was this NPI record last updated?

The NPPES record for Braedon Wieseler was last updated on January 15, 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.