Individual provider Active NPI

Andrew Mykytsey, MD

  • Clinical Cardiac Electrophysiology Physician
  • Wausau, WI
National Provider Identifier
1750547378
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
54729-20 Issued in WI
Practice address
500 Wind Ridge Dr.
Wausau, WI 54401-4173
Phone
(715) 847-2611
NPI assigned
Aug 3, 2008
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 54729-20 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, MI2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101109000220 WI Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 0648465310 Reassigns benefits to 4 organizations
I20161219000345 MI Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 0648465310 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus KeweenawGroup PAC ID 8123912011, shared by 7 NPIs, 116 clinicians
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians
Aspirus Medford Hospital and Clinics IncGroup PAC ID 5799688602, shared by 9 NPIs, 126 clinicians
Aspirus Iron River Hospital and Clinics IncGroup PAC ID 5294648929, 50 clinicians
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians

Practice addresses (Care Compare)

1000 Cedar St
Houghton, MI 49931-1978
Phone (906) 487-1710

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

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

135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100

1400 W Ice Lake Rd
Aspirus Iron River Hospital
Iron River, MI 49935-9526
Phone (906) 265-6121

143 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100

205 Osceola St
Laurium, MI 49913-2134
Phone (715) 847-2000

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

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

2401 Plover Rd
Plover, WI 54467-3916
Phone (715) 295-3800

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

3257 E US Hwy 2
Northstar Health System Home Care and Hospi
Iron River, MI 49935-8575
Phone (906) 265-6118

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

5409 Vern Holmes Dr
Stevens Point, WI 54482-8853
Phone (715) 870-2162

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

814 S Ice Lake Rd
Aspirus Iron River Clinic
Iron River, MI 49935-9481
Phone (906) 265-0499

814 S Lake Rd
Aspirus Cardiology
Iron River, MI 49935-9481
Phone (715) 847-2000

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

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

N10561 Grandview LN
Ironwood, MI 49938-9622

Hospital & facility affiliations

  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030
  • Aspirus Stevens Point Hospital & Clinics, Inc. Hospital, Stevens Point, WI, CCN 520002
  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019
  • Aspirus Keweenaw Hospital and Clinics Hospital, Laurium, MI, CCN 231319
  • Howard Young Medical Center Hospital, Woodruff, WI, CCN 520091

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 repair64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Nov 15, 2016 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jan 3, 2012 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jan 3, 2012 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Nov 15, 2016 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Dec 24, 2021 Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

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

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

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

2275 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-3000

824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

6951 S Michigan St
Three Lakes, WI 54562
Phone (715) 546-2543

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

2031 Peach St
Wisconsin Rapids, WI 54494
Phone (715) 423-0122

Interoperability endpoints

  • Direct secure messaging: amykytsey22614@direct.aspirus.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1750547378",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYKYTSEY",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-03",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "WI",
            "license": "54729-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.