NPIMap

Individual provider Active NPI

Andrea S. Luszcak, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rhinelander, WI
National Provider Identifier
1194909309
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
980-25 Issued in WI
Practice address
2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone
(715) 361-4700
NPI assigned
Dec 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 980-25 WI Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 016.005320 IL

Addresses

Primary practice location

2251 N Shore Dr
Rhinelander, WI 54501-6710

Mailing address

5492 Heartwood LN
Roscoe, IL 61073-7922
Phone (779) 537-4134

Other practice location 1

1400 US Highway 51 N Unit 7
Arbor Vitae, WI 54568-9504
Phone (779) 537-4134

Other practice location 2

240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address andrea.dirksen.1@10114.direct.athenahealth.com
Direct Messaging Address andrea.dirksen.1@10114.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111221000723 WI Practitioner - Podiatry 8628146941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Ironwood Hospital and Clinics IncGroup PAC ID 9032013198, shared by 5 NPIs, 165 clinicians

Practice addresses (Care Compare)

2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000

240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8140

N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10565 Grand View Lane
Ironwood, MI 49938-9622

N10565 Grandview Lane
Ironwood, MI 49938-9622

N10565 Grandview LN Aspirus Ironwood
Ironwood, MI 49938-9622
Phone (715) 843-1067

Hospital & facility affiliations

  • Howard Young Medical Center Hospital, Woodruff, WI, CCN 520091
  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019
  • Aspirus Eagle River Hospital Hospital, Eagle River, WI, CCN 521300
  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030

Merit-based Incentive Payment System (MIPS)

Final score
87.84 of 100Reported as group
Quality
86.21
Promoting interoperability
100
Improvement activities
40
Cost
73.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005320ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 7, 2024 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 7, 2024 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Nov 7, 2024 Accepting new patients
Saint Anthony Medical Center Past Accepting new patients
Jondelle Jenkins Foot & Ankle Surgery Past Accepting new patients
Rockford Hyperbaric Healing Center, Inc Past Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Past Accepting new patients
Dr. Mary White PC PastSince Jan 1, 2004 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: adirksen168266@direct.aspirus.org

Organizations & group practices 8

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.

Hospital & facility affiliations 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1194909309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5492 HEARTWOOD LN",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737922",
            "telephone_number": "779-537-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545016710",
            "telephone_number": "715-361-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 US Highway 51 N Unit 7",
            "address_purpose": "LOCATION",
            "city": "Arbor Vitae",
            "state": "WI",
            "postal_code": "545689504",
            "country_code": "US",
            "telephone_number": "779-537-4134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Maple St",
            "address_purpose": "LOCATION",
            "city": "Woodruff",
            "state": "WI",
            "postal_code": "545689190",
            "country_code": "US",
            "telephone_number": "715-356-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSZCAK",
        "first_name": "ANDREA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "980-25",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea.dirksen.1@10114.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "240 Maple St",
            "city": "Woodruff",
            "state": "WI",
            "country_code": "US",
            "postal_code": "545689190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea.dirksen.1@10114.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2251 N Shore Dr",
            "city": "Rhinelander",
            "state": "WI",
            "country_code": "US",
            "postal_code": "545016710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.