MRS. KATIE JANE BALDERAS (PA-C) – Physician Assistant, NPI 1497184279
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for MRS. KATIE JANE BALDERAS (PA-C)
1033 N MAYFAIR RD STE 101
WAUWATOSA, WI 532263442
Phone: (414) 454-0600
Type: Mailing
1111 DELAFIELD ST
STE 327
WAUKESHA, WI 53188
Phone: (262) 524-1024
Fax: (262) 524-8767
Type: Mailing
1260 SENTRY DR STE 140
WAUKESHA, WI 531865990
Phone: (262) 524-1024
Fax: (262) 524-8767
Type: Mailing
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 532153689
Phone: (414) 908-6506
Fax: (414) 908-6510
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $172.
Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: OPKO Pharmaceuticals, LLC ($136).
Total Amount
$172
General + Research + Ownership
Payments
2
Total payment records
General Amount
$172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| OPKO Pharmaceuticals, LLC | $136 |
| ABBVIE INC. | $37 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-12-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131224000096 | I | Physician Assistant | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 50 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 37 | $0 |
Insurance plans in this area (ZIP 53226)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WI | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 50 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Pediatric Medicine | WI | |
| - | WI | |
| P A T H O L O G Y | TN | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI | |
| Gastroenterology, Pediatric Medicine | WI | |
| Physician Assistant | WI | |
| Gastroenterology, Internal Medicine | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI |
Reviews
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