Heather Lynn Kluck, PA-C
Individual provider Active NPI Medical Physician Assistant · Clinton, WI
NPI 1710152020 · NPPES record last updated Oct 28, 2025
Key facts
- NPI
- 1710152020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 3201 (WI)
- Practice address
- 307 Ogden Ave
Clinton Clinic
Clinton, WI 53525-9007 - Phone
- (608) 676-2206
- Fax
- (608) 676-4029
- NPI assigned
- Apr 28, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7974 Uw Health CT
Middleton, WI 53562-5531
Hospital & facility affiliations
- University of Wi Hospitals & Clinics Authority
- Stoughton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- Quality
- 87.78
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131119001718 | WI | Practitioner - Physician Assistant | 2466688544 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-002399 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beloit Health System, Inc | Current |
Accepting new patients | |
| Beloit Clinic, S.C. | Current | Accepting new patients | |
| Beloit Health System, Inc | Current |
Accepting new patients |
Locations
1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293
307 Ogden Ave
Clinton, WI 53525
Phone (608) 364-1348
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3201 | WI | Yes |
| Physician Assistant | 363A00000X | 3201-23 | WI | |
| Physician Assistant | 363A00000X | 085-002399 | IL |
Addresses
Primary practice location
307 Ogden Ave
Clinton Clinic
Clinton, WI 53525-9007
Mailing address
1115 Eagle CT
Edgerton, WI 53534-8548
Other providers in Clinton, WI
- Generations Care Partners Corporation Dba Caring Senior Service Milwau
- Erin Grenawalt
- Brian A Hamann
- Treasa Hendrickson
- Brooke Johansen
- Alex Marchillo
- Tina Neisius
- Jessica Nenneman
- Tejesh N Patel
- Shuler Dental Office, S.C.
All providers in Clinton, WI · Medical Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.