Individual provider Active NPI

Stephen Robert Kreuser, MD

  • General Practice Physician
  • Washburn, WI
National Provider Identifier
1366416539
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
26675020 Issued in WI
Practice address
320 Superior Ave
Washburn, WI 54891
Phone
(715) 373-0128
Fax
(715) 373-0135
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 26675020 WI Primary

Addresses

Primary practice location

320 Superior Ave
Washburn, WI 54891

Mailing address

320 Superior Ave
Washburn, WI 54891
Phone (715) 373-0128

Other identifiers 1

IdentifierTypeStateIssuer
1992095970MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110506000377 WI Practitioner - General Practice 0345423554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Cincinnati College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 Superior Ave
Suite a
Washburn, WI 54891-9434
Phone (715) 373-0128

Hospital & facility affiliations

  • Tamarack Health Ashland Medical Center Hospital, Ashland, WI, CCN 521359

Merit-based Incentive Payment System (MIPS)

Final score
86.19 of 100Reported as group
Quality
74.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26675020WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kreuser Clinic S C. CurrentSince Jan 1, 1966 Accepting new patients

Locations

320 Superior Ave
Washburn, WI 54891
Phone (715) 373-0128

320 Superior Ave
Ste A
Washburn, WI 54891
Phone (715) 373-0128

Organizations & group practices 1

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 1

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1366416539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "54891",
            "telephone_number": "715-373-0128",
            "fax_number": "715-373-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "54891",
            "telephone_number": "715-373-0128",
            "fax_number": "715-373-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUSER",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "26675020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992095970",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washburn, WI

Sources for this page

Verify at the official NPI Registry.