ASPIRUS ST LUKES SUPERIOR CLINIC
NPI 1528010667
Family Medicine in Superior, WI

NPI Status: Active since May 17, 2006

Contact Information

109 N 28TH ST E
SUPERIOR, WI
ZIP 54880
Phone: (715) 395-3900

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Family Medicine
Accepts Insurance
CLIA Number: 52D0397185
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 01-01-2026

About ASPIRUS ST LUKES SUPERIOR CLINIC

This page provides the complete NPI Profile along with additional information for Aspirus St Lukes Superior Clinic, a primary care provider established in Superior, Wisconsin operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1528010667 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Aspirus St Lukes Superior Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Aspirus St Lukes Superior Clinic. The authorized official of this NPI record is Katherine Becker (Vp Compliance)

NPI: 1528010667
Provider Legal Name: ST. LUKE'S HOSPITAL OF DULUTH
Other Organization Name: ASPIRUS ST LUKES SUPERIOR CLINIC
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 109 N 28TH ST E SUPERIOR, WI 54880
Location Phone: (715) 395-3900
Mailing Address: 109 N 28TH ST E SUPERIOR, WI 54880
Mailing Phone: (715) 395-3900
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-17-2006
Last Update Date: 05-22-2024
Code Navigator

A primary care provider (PCP) like Aspirus St Lukes Superior Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Family Medicine
Taxonomy Code: 207Q00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	207W00000X	Allopathic & Osteopathic Physicians	Ophthalmology

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Anthem Blue Cross and Blue Shield

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

HealthPartners

Atlas $1,000 Gold - PPO
Atlas $1,500 Standard Gold - PPO
Atlas $2,650 Plus Silver - PPO
Atlas $3,500 HSA Silver - PPO
Atlas $5,000 Standard Silver - PPO
Atlas $6,500 Plus Bronze - PPO
Atlas $7,500 Standard Bronze - PPO
Atlas $8,200 HSA Bronze - PPO
Atlas $9,200 Catastrophic - PPO

Medica

Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
Medica Individual Choice Bronze HSA - EPO
Medica Individual Choice Bronze Share - EPO
Medica Individual Choice Bronze Share - HMO
Medica Individual Choice Expanded Bronze Standard - EPO
Medica Individual Choice Expanded Bronze Standard - HMO
Medica Individual Choice Gold $0 Copay PCP Visits - EPO
Medica Individual Choice Gold $0 Copay PCP Visits - HMO
Medica Individual Choice Gold Share - EPO
Medica Individual Choice Gold Share - HMO
Medica Individual Choice Gold Standard - EPO
Medica Individual Choice Gold Standard - HMO
Medica Individual Choice Silver $0 Copay PCP Visits - EPO
Medica Individual Choice Silver $0 Copay PCP Visits - HMO
Medica Individual Choice Silver Share - EPO
Medica Individual Choice Silver Share - HMO
Medica Individual Choice Silver Standard - EPO
Medica Individual Choice Silver Standard - HMO

Security Health Plan

Premier $1,500 - 25% - HMO
Premier $3,500 - 30% - HMO
Premier $4,100 HDHP - HMO
Premier $5,000 - 40% - HMO
Premier $6,200 HDHP - HMO
Premier $7,500 - HMO
Premier $9,200 - HMO
Premier Protection - HMO
Premier HMO $1,500 - 30% - HMO
Premier HMO $2,500 - 20% Copay - HMO
Premier HMO $3,300 - 30% HDHP - HMO
Premier HMO $3,500 - 30% - HMO
Premier HMO $3,500 HDHP - HMO
Premier HMO $4,000 - 20% HDHP - HMO
Premier HMO $5,000 - 20% HDHP - HMO
Premier HMO $5,500 - 30% Copay - HMO
Premier HMO $7,050 HDHP - HMO
Premier HMO $750 - 10% - HMO
Premier HMO $9,100 - HMO
Premier POS $1,500 - 30% - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: KATHERINE BECKER
Authorized Official Title: VP COMPLIANCE
Authorized Official Phone: (218) 249-5555

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 52D0397185
Facility Type: Physician Office
Certificate Effective Date: January 02, 2024
Certificate Expiration Date: January 01, 2026
Laboratory Director: PAIGE M. ANDERSEN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Aspirus St Lukes Superior Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	2	8	0	1	0	6	6	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	4	8	0	1	0	6	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 0 + 1 + 0 + 6 + 1 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 7									7

The NPI number 1528010667 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.