Ann K Church, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Grants, NM
NPI 1295700912 · NPPES record last updated Jan 31, 2025
Key facts
- NPI
- 1295700912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 036151567 (IL)
- Practice address
- 833 E Roosevelt Ave
Grants, NM 87020-2115 - Phone
- (505) 287-6500
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 36
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.
Practice addresses (Care Compare)
2251 N Shore Dr
Rhinelander, WI 54501-6710
Hospital & facility affiliations
- Aspirus Rhinelander Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200320002016 | IL | Practitioner - Obstetrics/Gynecology | 2264465830 | Reassigns benefits to 4 organizations |
| I20251016002027 | WI | Practitioner - Obstetrics/Gynecology | 2264465830 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Healthcare System | Current |
Accepting new patients | |
| St Mary Medical Center | Current | Accepting new patients | |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Aspirus Medical Group, Inc. | Obstetrics & Gynecology | Current |
Accepting new patients |
| St Mary Medical Center | Current |
Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin | Family Medicine | Current | Accepting new patients |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current |
Accepting new patients | |
| Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin | Current | Accepting new patients | |
| Osf Healthcare System | Current |
Accepting new patients | |
| St. Mary Medical Center | Family Medicine | Current |
Accepting new patients |
| Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin | Family Medicine | Current |
Accepting new patients |
| Osf Healthcare System | Current |
Accepting new patients | |
| Aspirus Medical Group, Inc. | Current |
Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Family Medicine | Current |
Accepting new patients |
| Aspirus Medical Group, Inc. | Current |
Accepting new patients | |
| St Mary Medical Center | Family Medicine | Past | Accepting new patients |
| Wcos, PC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
3315 N Seminary St
Ste 206
Galesburg, IL 61401
Phone (309) 344-1000
3315 N Seminary St
#101
Galesburg, IL 61401
Phone (309) 344-1000
3315 N Seminary St
Galesburg, IL 61401
Phone (309) 344-1000
1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
124 SW Adams St
Fl 2
Peoria, IL 61602
Phone (309) 655-2850
2215 Progress Blvd
Antigo, WI 54409
Phone (715) 623-2351
110 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2351
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
663 Maratech Ave
Marathon, WI 54448
Phone (715) 443-2727
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
Interoperability endpoints
- achurch380026@direct.aspirus.org
- achurch0@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036151567 | IL | Yes |
Addresses
Primary practice location
833 E Roosevelt Ave
Grants, NM 87020-2115
Mailing address
833 E Roosevelt Ave
Grants, NM 87020-2115
Phone (505) 287-6500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 905524 | Other | ABOG | |
| NM2010-0079 | Other | NM | MEDICAL LICENSE |
Other providers in Grants, NM
- Catholic Charities of Gallup
- Mercedes Romo Chavez
- Nicole M Chavez
- Shannon Chavez
- Christy E Cheromiah
- Cibola General Hospital Corporation
- Cibola General Hospital Corporation
- Cibola General Hospital Phcy
- Cibola Specialty Associates
- Cibola Sports and Physical Therapy
All providers in Grants, NM · Obstetrics & Gynecology Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.