Active NPI
Kristie Lynn Gering, MD
- Family Medicine Physician
- Chippewa Falls, WI
National Provider Identifier
1245233287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39046
- Practice address
- 2829 County Highway I
Suite 2C
Chippewa Falls, WI 54729 - Phone
- (715) 860-2300
- Fax
- (715) 861-2302
- NPI assigned
- May 23, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39046 | WI | Primary |
Addresses
Primary practice location
2829 County Highway I
Suite 2C
Chippewa Falls, WI 54729
Mailing address
2829 County Highway I
Suite 2C
Chippewa Falls, WI 54729
Phone (715) 860-2300
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-10997 | Other | WI | MEDICA |
| 391435797 | Other | WI | EMPLOYERS |
| 301025871 | Other | WI | PREFERRED ONE |
| 32586100 | Medicaid | WI | |
| 60084 | Other | WI | GREATER MARSHFIELD PLAN |
| 73D70GE | Other | WI | ATRIUM SENIOR PLAN |
| 73D70GE | Other | WI | BLUE CROSS MINNESOTA |
| W005284 | Other | WI | CHAMPUS |
| 73D70GE | Other | WI | ATRIUM |
| 32586100 | Other | WI | WISCONSIN RISK |
| G92784 | Other | WI | GROUP HEALTH |
| 5214084 | Other | WI | FIRST HEALTH |
| G92784 | Other | WI | MA GROUP HEALTH |
| 3080141275 | Other | WI | TRAVELERS RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39046 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1245233287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2829 COUNTY HIGHWAY I",
"address_2": "SUITE 2C",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "54729",
"telephone_number": "715-860-2300",
"fax_number": "715-861-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 COUNTY HIGHWAY I",
"address_2": "SUITE 2C",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "54729",
"telephone_number": "715-860-2300",
"fax_number": "715-861-2302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERING",
"first_name": "KRISTIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "39046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "01-10997",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYERS",
"identifier": "391435797",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "301025871",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32586100",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREATER MARSHFIELD PLAN",
"identifier": "60084",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATRIUM SENIOR PLAN",
"identifier": "73D70GE",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MINNESOTA",
"identifier": "73D70GE",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "W005284",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATRIUM",
"identifier": "73D70GE",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN RISK",
"identifier": "32586100",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "G92784",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5214084",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA GROUP HEALTH",
"identifier": "G92784",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS RAILROAD",
"identifier": "3080141275",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.