Individual provider Active NPI

Matthew C Trom, PA-C

  • Physician Assistant
  • Menomonie, WI
National Provider Identifier
1346560570
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

OrganizationSpecialtyStatusNew patients
Reformedicine, S.C. CurrentSince May 18, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.