NPIMap

St. Croix Regional Medical Center

A Medicare group practice based in Frederic, WI: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 9335032184), with 515 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9335032184The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
MN, WI
Enrollments
8
Group size
131 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
17In 5 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20040205000217 WI Part B Supplier - Clinic/Group Practice 1043240922
O20061104000660 WI Part A Provider - Critical Access Hospital 1043240922
O20120807000264 WI Part A Provider - Rural Health Clinic 1811256126
O20120622000560 WI Part A Provider - Rural Health Clinic 1851652374
O20110929000165 MN Part B Supplier - Clinic/Group Practice 1043240922
O20111228000462 WI Part A Provider - Critical Access Hospital 1043240922
O20180803001628 WI Part A Provider - Rural Health Clinic 1013423219
O20180803000941 WI Part A Provider - Rural Health Clinic 1669988861

NPIs in this group 5

NPPES NPI Registry

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

Practice locations

Locations on the Medicare enrollment

Clinicians 515

Page 1 of 6

Clinicians who reassign their Medicare benefits to this group (515) or whom Care Compare lists as members (131).

Sources for this page