St Croix County

PAC ID

3779676044The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice

Enrolled in

WI

Enrollments

2

Group size

9 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

3In 1 place

Enrollment records 2

These NPI records belong to the same enrolled organization. Each has its own page.

• St Croix County

  • Skilled Nursing Facility
  • New Richmond, WI
  • NPI 1225036783
• St Croix County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Richmond, WI
  • NPI 1932265105
• St Croix County

  • Public Health or Welfare Agency
  • New Richmond, WI
  • NPI 1659553618

Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (9).

• Beverly Ann Green, MSSW

  • Clinical Social Worker
  • Hudson, WI
  • NPI 1932258969
• Anna-Liese Groeper, LCSW

  • Clinical Social Worker
  • Eau Claire, WI
  • NPI 1063300853
• Jonathan C. Hoistad, PH.D.

  • Psychologist
  • Saint Paul, MN
  • NPI 1588779292
• David J Huebsch, MA

  • Marriage & Family Therapist
  • New Richmond, WI
  • NPI 1770770075
• Heather M Joki, LCSW

  • Clinical Social Worker
  • New Richmond, WI
  • NPI 1346486198
• Sharlene Lopez, LPC

  • Mental Health Counselor
  • New Richmond, WI
  • NPI 1811584170
• James Scott Persing, MD

  • Psychiatry Physician
  • Menomonie, WI
  • NPI 1588602379
• William Gregory Platz, M.D.

  • Psychiatry Physician
  • Amery, WI
  • NPI 1588742423
• Natalie Ann Radich

  • Mental Health Counselor
  • Mora, MN
  • NPI 1831664275
• John Ernest Simon, M.D.

  • Psychiatry Physician
  • Minneapolis, MN
  • NPI 1255374609
• Alyssa Re Tulman Bruner, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • New Richmond, WI
  • NPI 1851163554
• Nicole T. Ward, PSYD, LP

  • Clinical Psychologist
  • Anoka, MN
  • NPI 1497901532
• Tanya Lynn Weideman, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • River Falls, WI
  • NPI 1275004897
• Jamie Alicia Wilson, LPC, SAC-IT, CSW

  • Professional Counselor
  • New Richmond, WI
  • NPI 1942637566
• Katelyn Zachrison, LPC

  • Professional Counselor
  • Amery, WI
  • NPI 1487323093

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.