Active NPI
Hannah Elizabeth Wenzlick, PA-C
- Physician Assistant
- Antigo, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4609
- Practice address
- 112 E 5TH Ave
Antigo, WI 54409-2710 - Phone
- (715) 623-2351
- NPI assigned
- Feb 11, 2019
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4609 | WI | Primary |
Addresses
Primary practice location
112 E 5TH Ave
Antigo, WI 54409-2710
Mailing address
112 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2351
Other practice location 1
112 E 5th Ave
Antigo, WI 54409-2710
Phone (715) 623-2331
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Wausau Hospital Inc | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Human Services Board Serving North Central Health Care Facility | Current | Accepting new patients | |
| Human Services Board Serving North Central Heatlh Care Facility | Current | Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
110 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2351
112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331
2400 Marshall St
Ste A
Wausau, WI 54403
Phone (715) 848-4600
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
1100 Lake View Dr
Wausau, WI 54403
Phone (715) 848-4454
4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400
Interoperability endpoints
- https://api.platform.athenahealth.com/10114/brand/2/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Clinic/Center
- Wausau, WI
- NPI 1003021452
-
- Clinic/Center
- Wausau, WI
- NPI 1922321140
-
- Multi-Specialty Clinic/Center
- Wausau, WI
- NPI 1205944543
-
- Obstetrics & Gynecology Physician
- Wausau, WI
- NPI 1942084199
-
- Rural Health Clinic/Center
- Wisconsin Rapids, WI
- NPI 1184176059
-
- Clinic/Center
- Wausau, WI
- NPI 1639409915
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wausau, WI
- NPI 1225905102
-
- Psychiatric Hospital
- Wausau, WI
- NPI 1932714292
-
- Multi-Specialty Clinic/Center
- Wausau, WI
- NPI 1821106162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1366908790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 E 5TH AVE",
"city": "ANTIGO",
"state": "WI",
"postal_code": "544092710",
"telephone_number": "715-623-2351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E 5TH AVE",
"city": "ANTIGO",
"state": "WI",
"postal_code": "544092710",
"telephone_number": "715-623-2351"
}
],
"practiceLocations": [
{
"address_1": "112 E 5th Ave",
"address_purpose": "LOCATION",
"city": "Antigo",
"state": "WI",
"postal_code": "544092710",
"country_code": "US",
"telephone_number": "715-623-2331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENZLICK",
"first_name": "HANNAH",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "4609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antigo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.