Active NPI
Matthew C Trom, PA-C
- Physician Assistant
- Menomonie, WI
National Provider Identifier
1346560570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 800 Wilson Ave RM 28
Menomonie, WI 54751-2717 - Phone
- (715) 895-6234
- NPI assigned
- Jun 10, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MN | Primary |
Addresses
Primary practice location
800 Wilson Ave RM 28
Menomonie, WI 54751-2717
Mailing address
800 Wilson Ave RM 28
Menomonie, WI 54751-2717
Phone (715) 895-6234
Other practice location 1
111 17th Ave E
Alexandria, MN 56308-5273
Phone (320) 763-5123
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: No
- Opted out of Medicare
- Yes, effective Nov 11, 2025 through Nov 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reformedicine, S.C. | Current | Accepting new patients | |
| Douglas County Hospital | Past | Accepting new patients |
Locations
800 Wilson Ave
Rm 28
Menomonie, WI 54751
Phone (715) 895-6234
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Menomonie, WI
- NPI 1487489787
-
dba Alomere Health
- General Acute Care Hospital
- Alexandria, MN
- NPI 1164424305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1346560570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WILSON AVE RM 28",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547512717",
"telephone_number": "715-895-6234",
"fax_number": "888-606-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WILSON AVE RM 28",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547512717",
"telephone_number": "715-895-6234"
}
],
"practiceLocations": [
{
"address_1": "111 17th Ave E",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "MN",
"postal_code": "563085273",
"country_code": "US",
"telephone_number": "320-763-5123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TROM",
"first_name": "MATTHEW",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-10",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menomonie, WI
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- Kalie R Townsend, NP
- Bruce Martin Trimble, DDS
- Katherine Josephine Trimble
- Kelsey Eileen Trinkner, MS, LPC
- Truliving Birth Centers Inc (TruLiving Birth Center)
- Truliving Birth Centers Inc
- Nikki Turner, CEP
- Barbara J. Tysdahl, PA-C
- Andrew Tyynismaa, H.I.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.