Active NPI
Elite Male T Clinic, LLC Dba Elite Hormones
- Integrative Medicine Physician
- Wausau, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- Legal business name
- ELITE MALE T CLINIC, LLC DBA ELITE HORMONES
- Practice address
- 505 S 24TH Ave Ste 204
Wausau, WI 54401-1706 - Phone
- (715) 240-4150
- NPI assigned
- Mar 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anne Ivaska, APNP
- Title
- Owner
- Phone
- (715) 370-0380
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | Primary |
Addresses
Primary practice location
505 S 24TH Ave Ste 204
Wausau, WI 54401-1706
Mailing address
3164 Shady LN
Stevens Point, WI 54481-9508
Phone (715) 370-0380
Other practice location 1
2633 N Clairemont Ave
Eau Claire, WI 54703-2405
Phone (715) 240-4150
Other practice location 2
7704 Terrace Ave Ste 1
Middleton, WI 53562-3122
Phone (715) 240-4150
National Provider Directory
National Provider DirectoryLocations
2633 N Clairemont Ave
Eau Claire, WI 54703
Phone 7152404150 ext. 00380
7704 Terrace Ave
Ste 1
Middleton, WI 53562
Phone 7152404150 ext. 00380
505 S 24th Ave
Ste 204
Wausau, WI 54401
Phone (715) 240-4150
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Wausau, WI
- NPI 1801147293
-
- Nurse Practitioner
- Eau Claire, WI
- NPI 1871850289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774310400000",
"number": "1629916192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3164 SHADY LN",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544819508",
"telephone_number": "715-370-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S 24TH AVE STE 204",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544011706",
"telephone_number": "715-240-4150"
}
],
"practiceLocations": [
{
"address_1": "2633 N Clairemont Ave",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547032405",
"country_code": "US",
"telephone_number": "715-240-4150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7704 Terrace Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Middleton",
"state": "WI",
"postal_code": "535623122",
"country_code": "US",
"telephone_number": "715-240-4150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ELITE MALE T CLINIC, LLC DBA ELITE HORMONES",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A",
"authorized_official_last_name": "IVASKA",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "715-370-0380",
"authorized_official_credential": "APNP"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.