NPIMap

Individual provider Active NPI

Kevin E Rist, MD

  • Clinical Cardiac Electrophysiology Physician
  • Wausau, WI
National Provider Identifier
1497734750
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
3123020 Issued in WI
Practice address
500 Wind Ridge Dr.
Wausau, WI 54401-4173
Phone
(715) 847-2611
Fax
(715) 847-2612
NPI assigned
Jan 13, 2006
Last updated
Jan 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 3123020 WI Primary

Addresses

Primary practice location

500 Wind Ridge Dr.
Wausau, WI 54401-4173

Mailing address

500 Wind Ridge Dr.
Wausau, WI 54401-4173
Phone (715) 847-2611

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
I20100724000181 WI Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7618864075 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Geisel School of Medicine at Dartmouth, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians

Practice addresses (Care Compare)

110 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 675-2321

112 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2331

2225 N Shore Dr
Rhinelander, WI 54501-8360
Phone (715) 361-5482

2275 N Shore Dr
Rhinelander, WI 54501-8360
Phone (715) 361-5482

240 Maple St
Woodruff, WI 54568-9190
Phone (715) 847-2611

320 E Main St
Gilman, WI 54433-9674
Phone (715) 447-8293

4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400

410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone (715) 870-2162

500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone (715) 847-2611

601 S Ctr Ave
Merrill, WI 54452-3404
Phone (715) 847-2611

824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 346-5000

900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 847-2611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.16
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3123020WIMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Savior Healthcare, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Oct 17, 2025 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

500 Wind Ridge Dr
Wausau, WI 54401

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

Interoperability endpoints

  • Direct secure messaging: krist21447@direct.aspirus.org

Organizations & group practices 12

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 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1497734750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WIND RIDGE DR.",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014173",
            "telephone_number": "715-847-2611",
            "fax_number": "715-847-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WIND RIDGE DR.",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014173",
            "telephone_number": "715-847-2611",
            "fax_number": "715-847-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIST",
        "first_name": "KEVIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "WI",
            "license": "3123020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.