Individual provider Active NPI

Jodi Hansen Ritsch, MD

  • Family Medicine Physician
  • Altoona, WI
National Provider Identifier
1740230838
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37454 Issued in WI
Practice address
1476 Blazing Star Blvd
Suite 4
Altoona, WI 54720
Phone
(715) 318-0050
Fax
(715) 598-8813
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37454 WI Primary

Addresses

Primary practice location

1476 Blazing Star Blvd
Suite 4
Altoona, WI 54720

Mailing address

1476 Blazing Star Blvd
Suite 4
Altoona, WI 54720
Phone (715) 318-0050

Other identifiers 1

IdentifierTypeStateIssuer
32255900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 14, 2013 through Oct 14, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37454WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solidaritus Health Wisconsin SC Family Medicine CurrentSince Aug 30, 2020 Accepting new patients

Locations

1476 Blazing Star Blvd
Ste 4
Altoona, WI 54720
Phone (202) 254-4116

Interoperability endpoints

  • Direct secure messaging: jodi.ritsch@214522098548740.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1740230838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 BLAZING STAR BLVD",
            "address_2": "SUITE 4",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "54720",
            "telephone_number": "715-318-0050",
            "fax_number": "715-598-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 BLAZING STAR BLVD",
            "address_2": "SUITE 4",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "54720",
            "telephone_number": "715-318-0050",
            "fax_number": "715-598-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITSCH",
        "first_name": "JODI",
        "middle_name": "HANSEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "37454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32255900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, WI

Sources for this page

Verify at the official NPI Registry.