NATHANIEL JOSEPH RETRUM PA-C
NPI 1336548627
Physician Assistant - Medical in Antigo, WI

Active since August 22, 2014PECOS EnrolledAccepts Medicare Assignment
76.95/100
CMS Quality Rating
110 E 5TH AVE, ANTIGO, WI 54409(715) 623-2351 Get Directions Write a Review

NPPES record last updated: August 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathaniel Joseph Retrum Pa-c NPPES

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

NATHANIEL JOSEPH RETRUM PA-C (NPI 1336548627) is an individual medical provider in Antigo, Wisconsin, licensed in Wisconsin (3377-23) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1336548627
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameNATHANIEL JOSEPH RETRUMCredential: PA-C
Location Address110 E 5TH AVEAntigo, WI 54409-2710
Mailing Address110 East Fifth AvenueAntigo, WI 54409
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 22, 2014
NPI 1336548627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WI · 3377-23
110 E 5TH AVE, Antigo, WI 54409

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nathaniel Joseph Retrum Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537481130
PECOS Enrollment IDI20141210001918
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Langlade Hospital

Critical Access Hospitals · Antigo, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521350
Location112 E Fifth AveAntigo, WI 54409 · Langlade County
Emergency services

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.

76.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.52
Promoting Interoperability100
Improvement Activities40
Cost25.22

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier14 claims14 services$47.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Dietitian, Registered
110 E 5TH AVE
ANTIGO, WI 54409
Dietitian, Registered
110 E 5TH AVE
ANTIGO, WI 54409
Physician Assistant
110 E 5TH AVE
ANTIGO, WI 54409
Nurse Practitioner
110 E 5TH AVE
ANTIGO, WI 54409
Physician Assistant
110 E 5TH AVE
ANTIGO, WI 54409
Family Medicine
110 E 5TH AVE
ANTIGO, WI 54409
Family Medicine
110 E 5TH AVE
ANTIGO, WI 54409
Internal Medicine
110 E 5TH AVE
ANTIGO, WI 54409

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 Nathaniel Retrum's NPI number?

The NPI number for Nathaniel Retrum is 1336548627. It was assigned to this individual provider in the NPPES registry on August 22, 2014.

Where is Nathaniel Retrum located?

Nathaniel Retrum practices at 110 E 5th Ave, Antigo, WI 54409. The listed phone number is (715) 623-2351.

What is Nathaniel Retrum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nathaniel Retrum enrolled in Medicare?

Yes. Nathaniel Retrum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nathaniel Retrum accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Nathaniel Retrum 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.

Is Nathaniel Retrum affiliated with any hospitals?

According to CMS data, Nathaniel Retrum is affiliated with Aspirus Rhinelander Hospital, Aspirus Wausau Hospital and Langlade Hospital.

When was this NPI record last updated?

The NPPES record for Nathaniel Retrum was last updated on August 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.