Organization Active NPI

Kreuser Clinic S C.

  • Clinic/Center
  • Washburn, WI
National Provider Identifier
1992095970
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
26675 Issued in WI
Legal business name
KREUSER CLINIC S C.
Practice address
320 Superior Ave
Washburn, WI 54891-9426
Phone
(715) 373-0128
Fax
(715) 373-0135
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Dr. Stephen Robert Kreuser, M.D.NPI 1366416539
Title
President
Phone
(715) 373-0128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 26675 WI Primary

Addresses

Primary practice location

320 Superior Ave
Washburn, WI 54891-9426

Mailing address

320 Superior Avenue
Washburn, WI 54891-9426
Phone (715) 373-0128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110506000261 WI Part B Supplier - Clinic/Group Practice 5496930430 Receives reassigned benefits from 1 practitioner
Practice locations: Washburn, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0941336Kreuser Clinic SC320 Superior Ave, Washburn, WI 54891Provider-performed microscopyFeb 23, 2028

National Provider Directory

National Provider Directory

Locations

320 Superior Ave
Ste A
Washburn, WI 54891
Phone (715) 373-0128

320 Superior Ave
Washburn, WI 54891
Phone (715) 373-0128

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1992095970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVENUE",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548919426",
            "telephone_number": "715-373-0128",
            "fax_number": "715-373-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548919426",
            "telephone_number": "715-373-0128",
            "fax_number": "715-373-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREUSER CLINIC S C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "KREUSER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-373-0128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "26675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washburn, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.