Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon Baltz, PA-C

Individual provider Medical Physician Assistant · NPI 1366314254

Brandon Baltz, PA-C is a Physician Assistant in Wausau, Wisconsin. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2025, 1 year ago. Works from 2 locations. Licensed in Illinois and Wisconsin.

Years since qualifying
1
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IL, WI
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2400 Pine Ridge Blvd
Wausau, WI 54401-7803
Phone: (715) 847-2022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2003 W Fulton St, Chicago, IL 60612-2345 — (312) 243-2223

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8871 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085.011659 (IL)

Record details

NPI number1366314254
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2025
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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