NPIMap

Individual provider Active NPI

Heather Gruszynski, NP

  • Nurse Practitioner
  • Iola, WI
National Provider Identifier
1386664423
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2361-033 Issued in WI
Practice address
160 S Chet Krause Dr
Iola, WI 54945-9114
Phone
(715) 445-2228
Fax
(715) 445-4442
NPI assigned
Jul 20, 2006
Last updated
Mar 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2361-033 WI Primary

Addresses

Primary practice location

160 S Chet Krause Dr
Iola, WI 54945-9114

Mailing address

710 Riverside Dr
Waupaca, WI 54981-1941
Phone (715) 256-3062

Other identifiers 2

IdentifierTypeStateIssuer
41251300MedicaidWI
P00350244OtherWIRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041211000006 WI Practitioner - Nurse Practitioner 3870550890 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians
Aspirus Medford Hospital and Clinics IncGroup PAC ID 5799688602, shared by 9 NPIs, 126 clinicians

Practice addresses (Care Compare)

160 S Chet Krause Dr
Iola, WI 54945-9114
Phone (715) 445-2228

4480 W Spencer St
Appleton, WI 54915
Phone (920) 738-4800

625 Peterson Ave
Phillips, WI 54555-1452
Phone (715) 427-5701

710 Riverside Dr
Waupaca, WI 54981-1941
Phone (715) 256-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2361WIMDChiropractor
2361-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Thedacare, Incorporated CurrentSince Oct 10, 2005 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Sep 30, 2025 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Sep 30, 2025 Accepting new patients
Shawano Clinic, Inc Past Accepting new patients
Radiology Associates of Appleton, S.C. Nurse Practitioner Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

122 E College Ave
Appleton, WI 54911
Phone (920) 996-3264

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

520 W 3rd St
Kimberly, WI 54136
Phone (920) 788-7680

1095 Midway Rd
Menasha, WI 54952
Phone (920) 720-3700

2005 Midway Rd
Menasha, WI 54952
Phone (920) 380-4812

130 2nd St
Ste 197
Neenah, WI 54956
Phone (920) 729-2030

1380 Tullar Rd
Neenah, WI 54956
Phone (920) 205-0379

1504 S Commercial St
Neenah, WI 54956
Phone (920) 729-6088

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

625 Peterson Ave
Phillips, WI 54555
Phone (715) 339-4035

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

117 E Green Bay St
Shawano, WI 54166
Phone (715) 256-3000

710 Riverside Dr
Waupaca, WI 54981
Phone (715) 256-3000

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Interoperability endpoints

  • Direct secure messaging: hgruszynski20279@direct.aspirus.org
  • Direct secure messaging: hgruszynski9485@direct.thedacare.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1386664423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 RIVERSIDE DR",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811941",
            "telephone_number": "715-256-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S CHET KRAUSE DR",
            "city": "IOLA",
            "state": "WI",
            "postal_code": "549459114",
            "telephone_number": "715-445-2228",
            "fax_number": "715-445-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSZYNSKI",
        "first_name": "HEATHER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2361-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41251300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00350244",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iola, WI

Sources for this page

Verify at the official NPI Registry.