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

Darayu C Boltaeva, DMS, PA-C

Individual provider Physician Assistant · NPI 1912714692

Darayu C Boltaeva, DMS, PA-C is a Physician Assistant in Marshfield, Wisconsin. Qualified in 2024, 2 years ago. Practices with Mchs Hospitals Inc, a 1,194-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2024
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

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone: (800) 782-8581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 8239 (WI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1912714692
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMS , PA-C
Sole proprietorYes
NPI enumeratedDecember 16, 2024
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice McHs Hospitals Inc — 1194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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