NPIMap

Individual provider Active NPI

Tyler J Wimmer

  • Physician Assistant
  • Wausau, WI
National Provider Identifier
1972249696
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone
(715) 847-2611
NPI assigned
May 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X WI Primary

Addresses

Primary practice location

500 Wind Ridge Dr
Wausau, WI 54401-4173

Mailing address

500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone (715) 847-2611

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
I20220830002408 WI Practitioner - Physician Assistant 3173907896 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
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)

110 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 675-2321

112 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2331

135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-2121

143 S Gibson
Medford, WI 54451-1622
Phone (715) 748-2121

143 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8112

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

500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone (715) 847-2611

Hospital & facility affiliations

  • Aspirus Medford Hospital & Clinics, Inc Hospital, Medford, WI, CCN 521324
  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030
  • Langlade Hospital Hospital, Antigo, WI, CCN 521350
  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019
  • Aspirus Stanley Hospital Hospital, Stanley, WI, CCN 521311

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin CurrentSince Sep 6, 2022 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Sep 6, 2022 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

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

500 Wind Ridge Dr
Wausau, WI 54401

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

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • Direct secure messaging: twimmer188525@direct.aspirus.org

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1972249696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WIND RIDGE DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014173",
            "telephone_number": "715-847-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WIND RIDGE DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014173",
            "telephone_number": "715-847-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMMER",
        "first_name": "TYLER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.