ASHLEY E ST CLAIR NP
NPI 1598035768
Nurse Practitioner - Family in Wausau, WI
About Ashley E St Clair Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY E ST CLAIR NP (NPI 1598035768) is an individual family provider in Wausau, Wisconsin, licensed in Wisconsin (4839-33) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ashley E St Clair Np 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ashley St Clair reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wausau, WI 54401
- Reassigned Medicare billing, Wisconsin enrollment
- 633 clinicians in this Medicare group
Wausau, WI 54401
- Reassigned Medicare billing, Wisconsin enrollment
- 415 clinicians in this Medicare group
Wausau, WI 54401
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin
- 321 clinicians in this Medicare group
Blair, WI 54616
- Reassigned Medicare billing, Wisconsin enrollment
- 293 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aspirus Stevens Point Hospital & Clinics, Inc.
Acute Care Hospitals · Stevens Point, WIAspirus Rhinelander Hospital
Acute Care Hospitals · Rhinelander, WIAspirus Wausau Hospital
Acute Care Hospitals · Wausau, WIHoward Young Medical Center
Acute Care Hospitals · Woodruff, WIAspirus Medford Hospital & Clinics, Inc
Critical Access Hospitals · Medford, WIPhysician 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.
Referred Medical Equipment & Supplies CMS DME claims 8
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WAUSAU, WI 54401
WAUSAU, WI 54401
WAUSAU, WI 54401
WAUSAU, WI 54401
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 Ashley St Clair's NPI number?
The NPI number for Ashley St Clair is 1598035768. It was assigned to this individual provider in the NPPES registry on January 5, 2012.
Where is Ashley St Clair located?
Ashley St Clair practices at 425 Pine Ridge Blvd #220a, Wausau, WI 54401. The listed phone number is (715) 847-2040.
What is Ashley St Clair's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ashley St Clair enrolled in Medicare?
Yes. Ashley St Clair 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.
Which organizations bill Medicare for Ashley St Clair's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashley St Clair reassigns Medicare benefits to 4 organizations: Aspirus Wausau Hospital Inc (Wausau, WI), Aspirus Medical Group, Inc. (Wausau, WI), Langlade Memorial Hospital Hotel Dieu Of St Joseph (Wausau, WI) and Tri-County Memorial Hospital, Inc. (Blair, WI). 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 Ashley St Clair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ashley St Clair accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Ashley St Clair 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 Ashley St Clair affiliated with any hospitals?
According to CMS data, Ashley St Clair is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., Aspirus Rhinelander Hospital, Aspirus Wausau Hospital, Howard Young Medical Center and Aspirus Medford Hospital & Clinics, Inc.
When was this NPI record last updated?
The NPPES record for Ashley St Clair was last updated on November 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ashley E St Clair, NP · NPI 1598035768
Family physician in Wausau, Wisconsin. Individual provider, active in the CMS NPPES registry since January 5, 2012.
## Identity
- **NPI:** 1598035768 (Entity type: Individual)
- **Enumerated:** January 5, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4839-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 425 PINE RIDGE BLVD, #220A, Wausau, WI 54401-4123
- **Phone:** (715) 847-2040
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Aspirus Wausau Hospital Inc (NPI 1821328105, Wausau, WI); Aspirus Medical Group, Inc. (NPI 1003021452, Wausau, WI); Langlade Memorial Hospital Hotel Dieu Of St Joseph (NPI 1871630863, Wausau, WI); Tri-County Memorial Hospital, Inc. (NPI 1659625192, Blair, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** November 1, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1598035768) · Data from the CMS NPPES public registry.