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ANDREY MIRONENKO MD
NPI 1174185292
Emergency Medicine in Ladysmith, WI

Active since June 29, 2019PECOS Enrolled
100/100
CMS Quality Rating
1200 PORT ARTHUR RD, LADYSMITH, WI 54848(715) 532-2300 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2022, Jul 26, 2022 (2 updates tracked since 2022).

About Andrey Mironenko Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREY MIRONENKO MD (NPI 1174185292) is an individual emergency medicine provider in Ladysmith, Wisconsin, licensed in Wisconsin (76887-20) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174185292
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANDREY MIRONENKOCredential: MD
Location Address1200 PORT ARTHUR RDLadysmith, WI 54848-1137
Mailing Address1200 Port Arthur RdLadysmith, WI 54848-1137 · (715) 532-2300
Phone(715) 532-2300
Sole ProprietorNo
Enumeration DateJune 29, 2019
Last NPPES UpdateFebruary 13, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2024
✔ NPI 1174185292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 76887-20
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1200 PORT ARTHUR RD, Ladysmith, WI 54848
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrey Mironenko Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Andrey Mironenko reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mchs Hospitals Inc
0.8 mi
Critical Access
1200 PORT ARTHUR RD
Ladysmith, WI 54848
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
NPI 1952890873 (715) 532-5561
Lakeview Medical Center Inc Of Rice Lake
27 mi
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
NPI 1659008605 (715) 924-2000
Flambeau Hospital Inc
47 mi
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
NPI 1194317966 (715) 762-2484
Memorial Hospital, Inc
67 mi
Clinical Medical Laboratory
216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,283 clinicians in this Medicare group
NPI 1679746747 (715) 743-3101
Marshfield Clinic Inc
72 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Beaver Dam Community Hospitals Inc
173 mi
Family Medicine
180 GATEWAY DR
Waupun, WI 53963
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
NPI 1629374780 (920) 345-1306

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
35 services35 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
34 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54848 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.25
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA LYNN TAKACH NP
Nurse Practitioner (Family)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 532-2300
DANIELLE RANEE SOLTIS APNP
Nurse Practitioner (Family)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 609-3372
MCHS HOSPITALS INC
Clinic/Center (Rural Health)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 532-2300
BRITA LYNN BUSH FNP-C
Nurse Practitioner (Family)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 532-2300
AMBER RENE HALL NP
Nurse Practitioner (Family)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 532-2358
CHERYL R. PETRUS OTR
Occupational Therapist
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 532-0987
ERNEST L HALL NP
Nurse Practitioner (Psychiatric/Mental Health)
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 532-5561
KRYSELLE C GEROY PT
Physical Therapist
1200 PORT ARTHUR RD
LADYSMITH, WI 54848
Rusk County (715) 532-0987

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrey Mironenko's NPI number?

The NPI number for Andrey Mironenko is 1174185292. It was assigned to this individual provider in the NPPES registry on June 29, 2019.

Where is Andrey Mironenko located?

Andrey Mironenko practices at 1200 Port Arthur Rd, Ladysmith, WI 54848. The listed phone number is (715) 532-2300.

What is Andrey Mironenko's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Andrey Mironenko enrolled in Medicare?

Yes. Andrey Mironenko is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrey Mironenko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrey Mironenko reassigns Medicare benefits to 6 organizations: Mchs Hospitals Inc (Ladysmith, WI), Lakeview Medical Center Inc Of Rice Lake (Chetek, WI), Flambeau Hospital Inc (Park Falls, WI), Memorial Hospital, Inc (Neillsville, WI), Marshfield Clinic Inc (Marshfield, WI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrey Mironenko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrey Mironenko accept?

Health plans from Sanford Health Plan list Andrey Mironenko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrey Mironenko was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.