Heather L Runge, PA-C
Individual provider Active NPI Medical Physician Assistant · Minong, WI
NPI 1871528083 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1871528083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 1413 (WI)
- Practice address
- 600 W Shell Creek Rd
Minong, WI 54859-9145 - Phone
- (715) 466-2201
- Fax
- (715) 466-2205
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2001
- 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)
1630 Chippewa Dr
Rhinelander, WI 54501-9503
Phone (715) 361-5480
2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000
240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8140
Hospital & facility affiliations
- Aspirus Rhinelander Hospital
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 |
|---|---|---|---|---|
| I20060905000047 | WI | Practitioner - Physician Assistant | 4688678717 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Medical Group, Inc. | Current |
Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Medical Group, Inc. | Current |
Accepting new patients | |
| Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin | Current |
Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current |
Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331
1630 N Chippewa Dr
Rhinelander, WI 54501
Phone (715) 361-5480
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1413 | WI | Yes |
Addresses
Primary practice location
600 W Shell Creek Rd
Minong, WI 54859-9145
Mailing address
600 W Shell Creek Rd
Minong, WI 54859-9145
Phone (715) 466-2201
Other providers in Minong, WI
- Rebecca Keith
- Frederick D Kosmach
- Minong Area Fire and Ambulance Service
- Northwood School District
- Richard R Scott Jr.
- The Lakes Community Health Center, Inc
- The Lakes Community Health Center, Inc
- The Lakes Community Health Center, Inc
- Dodson W Thompson
All providers in Minong, WI · Medical Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.