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Active NPI 1316224199 Individual Practitioner Female Practitioner

Carisa Lynn Nardelli , PA-C

Physician Assistant • Summit, WI

Professional Overview & Biography Verified Profile Summary

Carisa Nardelli, PA-C is a registered healthcare professional specializing in Physician Assistant in Summit, WI. Practice services are available at 36500 AURORA DR under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

36500 Aurora Dr
Emergency Department

Summit, WI 530664899

Telephone 2624341000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Summit, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Summit, WI (3517 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
75 72 $780.00 $92.60
99285 Emergency department visit for life threatening or functioning severity
51 51 $1130.00 $127.73
99283 Emergency department visit with low level of medical decision making
30 30 $575.00 $55.11

Medical Specialties & State Licenses

CMS Verified: 2024-12-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 2876-23

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100020636 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bijan Nezami

Internal Medicine - Critical Care Medicine

NPI 1003201625
Kody Lewis , PA-C

Physician Assistant

NPI 1013144393

Physician Assistant (Certified)

Dr. Vijay Johnson , MD

Internal Medicine - Critical Care Medicine

NPI 1023298072

Doctor of Medicine (M.D.)

Kelly Campbell , ANP-BC

Nurse Practitioner

NPI 1023395118

ANPBC

Dr. Brett Mclachlan , MD

Emergency Medicine

NPI 1023452661

Doctor of Medicine (M.D.)

Lea Van Heule , CAA

Anesthesiologist Assistant

NPI 1023658549

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address December 27, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

NPI Profile Active October 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2012

Registered at 36500 AURORA DR, EMERGENCY DEPARTMENT, SUMMIT, WI 530664899 (Tel: 2624341000)

📍
Updated Business Mailing Address October 11, 2012

Registered at 36500 AURORA DR, EMERGENCY DEPARTMENT, SUMMIT, WI 530664899 (Tel: 2624341000)

👤
Provider Name / Credentials Updated October 11, 2012

Recorded as CARISA NARDELLI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2012

Physician Assistant (License #2876-23 in WI)

🟢
Initial NPI Registration & Enumeration November 08, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316224199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2011
Last Update: December 27, 2024
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.