Glenn Robert Kauppila, DO
Individual provider Active NPI Family Medicine Physician · Eau Claire, WI
NPI 1801959481 · NPPES record last updated May 27, 2022
Key facts
- NPI
- 1801959481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 63066 (WI)
- Practice address
- 733 W Clairemont Ave
Eau Claire, WI 54701-6101 - Phone
- (715) 838-5222
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mayo Clinic Health System-Northwest Wisconsin Region Inc
Practice addresses (Care Compare)
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222
Hospital & facility affiliations
- Aveanna Home Health
- St Croix Hospice Eau Claire
- Mayo Clinic Health System Eau Claire Hospital
- Mayo Clinic Health System-Red Cedar Inc
- Mayo Clinic Health System Oakridge
- Mayo Clinic Health System Chippewa Valley
- Mayo Clinic Health System-Northland
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141226000492 | WI | Practitioner - Family Practice | 5193782936 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63066 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Past | Accepting new patients | |
| Aspirus Keweenaw | Past |
Accepting new patients | |
| Nicole Boxer, MD, PC | Family Medicine | Past | Accepting new patients |
| Holland Community Hospital | Family Medicine | Past |
Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311
2409 Stout Rd
Menomonie, WI 54751
Phone (715) 231-3937
2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101013376 | MI | |
| Family Medicine Physician | 207Q00000X | 63066 | WI | Yes |
Addresses
Primary practice location
733 W Clairemont Ave
Eau Claire, WI 54701-6101
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (715) 838-5222
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gkauppila23651@ehrdirect.mayoclinicmsg.org |
Other providers in Eau Claire, WI
- Shayna Kass-Geissler
- Jennifer Kastner
- David J Katz
- Thomas J Katz
- Cristiane Kaufmann
- Viachaslau Kazelka
- Asegid H. Kebede
- Kathy Keebaugh
- Taylor Nicole Kegen
- Amanda Keiser
All providers in Eau Claire, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2022. 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.