NPIMap

Individual provider Active NPI

Kristin Anne Severson, DO

  • Internal Medicine Physician
  • Eau Claire, WI
National Provider Identifier
1245201532
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43376 Issued in WI
Practice address
3802 Oakwood Mall Dr
Eau Claire, WI 54701
Phone
(715) 839-9280
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43376 WI Primary

Addresses

Primary practice location

3802 Oakwood Mall Dr
Eau Claire, WI 54701

Mailing address

2403 Folsom St
Eau Claire, WI 54703-2435
Phone (715) 552-9784

Other practice location 1

403 Stageline Rd
Hudson, WI 54016-7899
Phone (715) 531-6800

Other identifiers 1

IdentifierTypeStateIssuer
43504700MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kseverson156155@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100123000200 WI Practitioner - Geriatric MedicinePractitioner - Internal Medicine 7416096268 Reassigns benefits to 2 organizations
I20190805000166 MN Practitioner - Internal Medicine 7416096268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakleaf Clinics IncGroup PAC ID 4486831328, 103 clinicians

Practice addresses (Care Compare)

3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Phone (715) 839-9280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.82 of 100Reported as individual
Quality
82.3
Promoting interoperability
100
Improvement activities
40
Cost
88.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
43376WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakleaf Clinics Inc Internal Medicine CurrentSince May 21, 2018 Accepting new patients
Westfields Hospital, Inc CurrentSince Jan 1, 2018 Accepting new patients
Oakleaf Clinics Inc CurrentSince May 21, 2018 Accepting new patients
Westfields Hospital, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Oakleaf Clinics Inc Internal Medicine Past Accepting new patients

Locations

2403 Folsom St
Eau Claire, WI 54703

3802 Oakwood Mall Dr
Eau Claire, WI 54701
Phone (715) 831-8130

3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 552-9784

719 W Hamilton Ave
Ste B
Eau Claire, WI 54701

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

Interoperability endpoints

  • Direct secure messaging: kseverson29914@oakleafmed.gardenplot.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dove Healthcare - West Eau ClaireEau Claire, WI, CCN 525387 Skilled nursing facility Contracted Managing Employee Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1245201532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 FOLSOM ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032435",
            "telephone_number": "715-552-9784",
            "fax_number": "715-835-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 OAKWOOD MALL DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-839-9280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Stageline Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167899",
            "country_code": "US",
            "telephone_number": "715-531-6800",
            "fax_number": "715-531-6801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "KRISTIN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "43376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43504700",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kseverson156155@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3802 Oakwood Mall Dr",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.