Active NPI
Eric Kubik, FNP
- Nurse Practitioner
- Wisconsin Rapids, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 15449-33
- Practice address
- 410 Dewey St
Wisconsin Rapids, WI 54494-4715 - Phone
- (717) 423-6060
- NPI assigned
- Apr 27, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 15449-33 | WI | Primary |
Addresses
Primary practice location
410 Dewey St
Wisconsin Rapids, WI 54494-4715
Mailing address
36520 128TH St
Twin Lakes, WI 53181-9390
Phone (414) 349-4196
Other practice location 1
125 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 261-4210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 261-4210
611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-5475
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Swea Fort SC | Current | Accepting new patients | |
| Emergency Physician Associates of Wisconsin SC | Nurse Practitioner | Current | Accepting new patients |
| Southern Wisconsin Emergency Associates SC | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210
420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474
410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Marinette, WI
- NPI 1396119426
Nurse Practitioner
-
- Emergency Medicine Physician
- Fort Atkinson, WI
- NPI 1295552065
-
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
- Emergency Medicine Physician
- Beloit, WI
- NPI 1568538189
-
- Rural Health Clinic/Center
- Marshfield, WI
- NPI 1124633870
-
- Rural Health Clinic/Center
- Wisconsin Rapids, WI
- NPI 1568821122
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Marshfield, WI
- NPI 1124633870
Hospital
-
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
- General Acute Care Hospital
- Fort Atkinson, WI
- NPI 1811916281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1174379432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36520 128TH ST",
"city": "TWIN LAKES",
"state": "WI",
"postal_code": "531819390",
"telephone_number": "414-349-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 DEWEY ST",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544944715",
"telephone_number": "717-423-6060"
}
],
"practiceLocations": [
{
"address_1": "125 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Watertown",
"state": "WI",
"postal_code": "530983303",
"country_code": "US",
"telephone_number": "920-261-4210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUBIK",
"first_name": "ERIC",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-27",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "15449-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wisconsin Rapids, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.