Sarah Grim Hostetler, MD
Individual provider Active NPI Dermatology Physician · Wausau, WI
NPI 1861654014 · NPPES record last updated Feb 5, 2021
Key facts
- NPI
- 1861654014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 57456-20 (WI)
- Practice address
- 425 Pine Ridge Blvd Ste 305
Wausau, WI 54401-4124 - Phone
- (715) 847-2626
- NPI assigned
- Jun 30, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 20
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Ohio State University College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Wausau Hospital Inc
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.
Practice addresses (Care Compare)
1901 Westwood Ctr Blvd
Wausau, WI 54401-2892
Phone (715) 847-2472
333 Pine Ridge Blvd
Wausau, WI 54401-4102
333 Pine Ridge Blvd
Wausau, WI 54401-4120
Phone (715) 847-2121
824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 344-1600
Hospital & facility affiliations
- Aspirus Wausau Hospital
- Aspirus Medford Hospital & Clinics, Inc
- Langlade Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.56 of 100
- Quality
- 87.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.24
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 32 |
| Removal of skin lesions | 524 |
| Removal or shaving of skin growth | 32 |
| Skin biopsy | 181 |
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 |
|---|---|---|---|---|
| I20121004000508 | WI | Practitioner - Dermatology | 5991954067 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57456-20 | WI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | 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 Medical Group, Inc. | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
425 Pine Ridge Blvd
Ste 305A
Wausau, WI 54401
Phone (715) 847-2480
1901 Westwood Center Blvd
Wausau, WI 54401
Phone (715) 355-9424
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
425 Pine Ridge Blvd
Ste 305
Wausau, WI 54401
Phone (715) 847-2480
Interoperability endpoints
- sgrimhostetler56469@direct.aspirus.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dermatology Physician | 207N00000X | 57456-20 | WI | Yes |
Addresses
Primary practice location
425 Pine Ridge Blvd Ste 305
Wausau, WI 54401-4124
Mailing address
425 Pine Ridge Blvd Ste 305
Wausau, WI 54401-4124
Phone (715) 847-2626
Other names
- Ms. Sarah Elizabeth Grim
Other providers in Wausau, WI
- Daniel James Hoppe
- Mindy Leigh Hoppe
- Horizon Healthcare, Inc
- Hospice Preferred Choice, Inc.
- Hospitalist Medicine Physicians of Marathon County LTD
- Todd L. Hostetler
- Sarah Kathryn Houdek
- Richard Allen Hovda
- Jeanette Marie Howard
- Thomas C Howard
All providers in Wausau, WI · Dermatology 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 Feb 5, 2021. 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.