Active NPI
Timothy E Wasano
- Family Nurse Practitioner
- Wausau, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4881-33
- Practice address
- 2720 Plaza Dr
Suite 1100
Wausau, WI 54401-4158 - Phone
- (715) 847-2472
- NPI assigned
- Jul 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4881-33 | WI | Primary |
Addresses
Primary practice location
2720 Plaza Dr
Suite 1100
Wausau, WI 54401-4158
Mailing address
2720 Plaza Dr
Suite 1100
Wausau, WI 54401-4158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121012000317 | WI | Practitioner - Nurse Practitioner | 1658356175 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Wausau Hospital IncAspirus Medical Group, Inc.
Practice addresses (Care Compare)
333 Pine Ridge Blvd
Wausau, WI 54401-4102
4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400
Hospital & facility affiliations
- Aspirus Wausau Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.53 of 100
- Quality
- 77.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.08
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.56 of 100
- Quality
- 87.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4881-33 | WI | MD | Family Nurse Practitioner |
Practice roles
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
1630 N Chippewa Dr
Rhinelander, WI 54501
Phone (715) 361-5480
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
5409 Vern Holmes Dr
Stevens Point, WI 54482
Phone (715) 342-1015
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
2720 Plaza Dr
Ste 1400A
Wausau, WI 54401
Phone (715) 847-0426
2720 Plaza Dr
Ste 1100
Wausau, WI 54401
Phone (715) 847-2472
4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400
Organizations & group practices 24
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.
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
WI
-
- Rural Health Clinic/Center
- Elcho, WI
- NPI 1831251040
WI
-
- Critical Access Hospital
- Antigo, WI
- NPI 1639187412
WI
-
- Clinic/Center
- Wausau, WI
- NPI 1568765550
-
- Podiatric Clinic/Center
- Wausau, WI
- NPI 1689976474
-
- Clinic/Center
- Wausau, WI
- NPI 1174601876
-
- Land Ambulance
- Wausau, WI
- NPI 1215101076
-
- Rehabilitation Hospital Unit
- Wausau, WI
- NPI 1467546580
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1982959391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 PLAZA DR",
"address_2": "SUITE 1100",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 PLAZA DR",
"address_2": "SUITE 1100",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014158",
"telephone_number": "715-847-2472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASANO",
"first_name": "TIMOTHY",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-23",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "4881-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.