Clare A Cullen, APNP
Individual provider Active NPI Nurse Practitioner · Plover, WI
NPI 1831246172 · NPPES record last updated May 22, 2008
Key facts
- NPI
- 1831246172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1134 (WI)
- Practice address
- 2401 Plover Road
Plover, WI 54481 - Phone
- (715) 259-3800
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 21
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.
Practice addresses (Care Compare)
3500 Hoover Rd
Stevens Point, WI 54481-5600
Phone (715) 342-7900
Hospital & facility affiliations
- Aspirus at Home
- Aspirus Stevens Point Hospital & Clinics, Inc.
- Aspirus Rhinelander Hospital
- Aspirus Riverview Hospital & Clinics Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.84 of 100
- Quality
- 86.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.25
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050209000486 | WI | Practitioner - Nurse Practitioner | 8527019397 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1134 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Wausau Hospital Inc | Current |
Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current |
Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Medical Group, Inc. | Current |
Accepting new patients | |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current |
Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
2831 Post Rd
Plover, WI 54467
Phone (715) 341-2124
2401 Plover Rd
Plover, WI 54467
Phone (715) 259-3800
1020 Kabel Ave
Rhinelander, WI 54501
Phone (715) 361-2805
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
3500 Hoover Rd
Stevens Point, WI 54481
Phone (715) 342-7900
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400
Interoperability endpoints
- ccullen16065@direct.aspirus.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1134 | WI | Yes |
Addresses
Primary practice location
2401 Plover Road
Plover, WI 54481
Mailing address
900 Illinois Avenue
Stevens Point, WI 54481
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43882000 | Medicaid | WI |
Other providers in Plover, WI
- Michele Caldwell
- Colleen Hennelly, O.D.
- Compassus Aah of Wisconsin IV, LLC
- Cornerstone Clinic LLC
- Genesis Anne Cratsenberg
- Joshua Alan Deisinger
- Daniel G. Derezinski
- Christopher Thomas Deroche
- Sara R Ebel
- Mark S Ensweiler
All providers in Plover, WI · Nurse Practitioner 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 22, 2008. 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.