NPIMap

Individual provider Active NPI

Patrick M Allen, DO

  • Family Medicine Physician
  • Wausau, WI
National Provider Identifier
1811280407
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60295 Issued in WI
Practice address
212 Sturgeon Eddy Rd
Wausau, WI 54403-6672
Phone
(715) 842-0491
NPI assigned
May 16, 2011
Last updated
Aug 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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 60295 WI Primary

Addresses

Primary practice location

212 Sturgeon Eddy Rd
Wausau, WI 54403-6672

Mailing address

212 Sturgeon Eddy Rd
Wausau, WI 54403-6672
Phone (715) 842-0491

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140714002105 WI Practitioner - Family Practice 7315162005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60295WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medical Group, Inc. CurrentSince Oct 5, 2015 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Aspirus Wausau Hospital, Inc. Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Oct 5, 2015 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Wausau Hospital Inc Past Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

212 Sturgeon Eddy Rd
Wausau, WI 54403
Phone (715) 842-0491

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

902 N 3rd St
Wausau, WI 54403
Phone (715) 841-9830

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

1660 Sue Alan Dr
Wittenberg, WI 54499
Phone (715) 241-5426

Interoperability endpoints

  • Direct secure messaging: pallen53183@direct.aspirus.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1811280407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 STURGEON EDDY RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036672",
            "telephone_number": "715-842-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 STURGEON EDDY RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036672",
            "telephone_number": "715-842-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "PATRICK",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "60295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.