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MS. KRISTIN R RUESCH P.A. - C
NPI 1578533949
Physician Assistant in Wausau, WI

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
82.79/100
CMS Quality Rating
2727 PLAZA DR, WAUSAU, WI 54401(715) 847-3000 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 23, 2023, May 15, 2023, Apr 1, 2021 and 1 more (4 updates tracked since 2017).

About Ms. Kristin R Ruesch P.a. - C NPPES

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

MS. KRISTIN R RUESCH P.A. - C (NPI 1578533949) is an individual physician assistant in Wausau, Wisconsin, licensed in Wisconsin (3697) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1578533949
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KRISTIN R RUESCHCredential: P.A. - C
Location Address2727 PLAZA DRWausau, WI 54401-4129
Mailing Address2727 Plaza DrWausau, WI 54401-4129 · (715) 847-3763 · Fax (715) 847-3059
Phone(715) 847-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 26, 2006
Last NPPES UpdateOctober 23, 20234 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1578533949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WI · 3697✔ Licensed in NY · 010666-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2727 PLAZA DR, Wausau, WI 54401
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Other Identifiers 1

Other4145883NY · Mvp Healthplan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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

Ms. Kristin R Ruesch P.a. - 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 ID6608898119
PECOS Enrollment IDI20151222002730
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
228 services209 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
157 services146 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
39 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Weston

Acute Care Hospitals · Weston, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520202
Location3400 Ministry ParkwayWeston, WI 54476 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

Referred Medical Equipment & Supplies CMS DME claims 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers364 claims365 services$38.18 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers462 claims462 services$91.29 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
15 suppliers489 claims1,181 services$35.31 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers186 claims857 services$19.84 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers146 claims774 services$15.24 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
18 suppliers327 claims328 services$58.81 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 20

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

MS. JACQUELYN FORBES KEARNS MS,ARNP-C
Nurse Practitioner (Adult Health)
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000
ELAINE J. OLSEN CRNA
Nurse Anesthetist, Certified Registered
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000
SWATI S BISWAS MD
Physical Medicine & Rehabilitation
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3042
HEATHER L. LANDWEHR PA
Physician Assistant
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000
JOHN F WEBB MD
Emergency Medicine
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3434
DR. ARTI KHURANA MD
Internal Medicine (Rheumatology)
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000
SARAH S NIELSEN DO
Radiology (Diagnostic Radiology)
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000
THOMAS CRAIG HUPY M.D.
Emergency Medicine
2727 PLAZA DR
WAUSAU, WI 54401
Marathon County (715) 847-3000

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 Kristin Ruesch's NPI number?

The NPI number for Kristin Ruesch is 1578533949. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Kristin Ruesch located?

Kristin Ruesch practices at 2727 Plaza Dr, Wausau, WI 54401. The listed phone number is (715) 847-3000.

What is Kristin Ruesch's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristin Ruesch enrolled in Medicare?

Yes. Kristin Ruesch 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 Kristin Ruesch accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Kristin Ruesch 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 Kristin Ruesch affiliated with any hospitals?

According to CMS data, Kristin Ruesch is affiliated with Marshfield Medical Center and Marshfield Medical Center - Weston.

When was this NPI record last updated?

The NPPES record for Kristin Ruesch was last updated on October 23, 2023. 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.