NPIMap

Individual provider Active NPI

Zoe Kunze, PA-C

  • Physician Assistant
  • Superior, WI
National Provider Identifier
1780383182
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7289-23 Issued in WI
Practice address
2222 E 5TH St
Superior, WI 54880-3709
Phone
(715) 392-1955
Fax
(715) 392-1935
NPI assigned
Feb 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7289-23 WI Primary
Physician Assistant 363A00000X 14413 MN

Addresses

Primary practice location

2222 E 5TH St
Superior, WI 54880-3709

Mailing address

PO Box 697
Superior, WI 54880-0697
Phone (715) 392-1955

Other practice location 1

4325 Grand Ave
Duluth, MN 55807-2730
Phone (218) 722-1497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230322002389 WI Practitioner - Physician Assistant 9436523040 Reassigns benefits to 1 organization
I20230419000848 MN Practitioner - Physician Assistant 9436523040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Midwestern University College of Dental Medicine, Downers Grove, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Polinsky Medical Rehabilitation CenterGroup PAC ID 0941377360, 369 clinicians

Practice addresses (Care Compare)

1600 Miller Trunk Hwy
Duluth, MN 55811-5640
Phone (218) 786-5360

2222 E 5TH St
Superior, WI 54880-3709
Phone (715) 392-1955

4325 Grand Ave
Duluth, MN 55807-2730
Phone (218) 722-1497

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14413MNMDPhysician Assistant
7289-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Superior Community Health Center CurrentSince Apr 1, 2022 Accepting new patients
Lake Superior Community Health Center CurrentSince Apr 1, 2022 Accepting new patients

Locations

4325 Grand Ave
Duluth, MN 55807
Phone (218) 628-7035

2222 E 5th St
Superior, WI 54880
Phone (715) 392-1955

Interoperability endpoints

  • Direct secure messaging: zkunze814017@direct.ochin.org

Organizations & group practices 4

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.

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1780383182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548800697",
            "telephone_number": "715-392-1955",
            "fax_number": "715-392-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E 5TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548803709",
            "telephone_number": "715-392-1955",
            "fax_number": "715-392-1935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4325 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558072730",
            "country_code": "US",
            "telephone_number": "218-722-1497",
            "fax_number": "218-722-6239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNZE",
        "first_name": "ZOE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7289-23",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

Verify at the official NPI Registry.