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ASHLEY E ST CLAIR NP
NPI 1598035768
Nurse Practitioner - Family in Wausau, WI

Active since January 05, 2012PECOS EnrolledAccepts Medicare Assignment
425 PINE RIDGE BLVD, #220A, WAUSAU, WI 54401(715) 847-2040 Get Directions Write a Review

NPPES record last updated: November 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1598035768
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY E ST CLAIRCredential: NP
Location Address425 PINE RIDGE BLVD, #220AWausau, WI 54401-4123
Mailing Address425 Pine Ridge Blvd, #220aWausau, WI 54401-4123 · (715) 847-2040
Phone(715) 847-2040
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 5, 2012
Last NPPES UpdateNovember 1, 2016
✔ NPI 1598035768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 4839-33
Also ListedRegistered NurseTaxonomy 163W00000X · License 184705-30 (WI)
425 PINE RIDGE BLVD, Wausau, WI 54401
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Accepted Insurance

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

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.

PECOS PAC ID7911143110
PECOS Enrollment IDI20130412000444
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 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.

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
163 services59 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.
103 services64 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
80 services54 patients

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, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

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

Aspirus Tomahawk Hospital

Critical Access Hospitals · Tomahawk, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521313
Location401 W Mohawk Dr Suite 100Tomahawk, WI 54487 · Lincoln County
Emergency services

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521324
Location135 S Gibson StMedford, WI 54451 · Taylor 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
$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.

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.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers13 claims169 services$18.66 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers12 claims405 services$2.38 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
26 suppliers94 claims423 services$5.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers25 claims49 services$1.09 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers19 claims19 services$325.42 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
4 suppliers17 claims1,440 services$6.04 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.

LAURA B. SOLVERUD CRNA
Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, STE 211
WAUSAU, WI 54401
Marathon County (715) 845-5505
ELLIOTT ADENT
Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401
Marathon County (715) 845-5505
JEFFREY A KURTZ MD
Plastic Surgery
425 PINE RIDGE BLVD, SUITE 205
WAUSAU, WI 54401
Marathon County (715) 847-0444
STEVE HENKENS CRNA
Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401
Marathon County (715) 845-5505
ASPIRUS MEDICAL GROUP, INC.
Clinic/Center
425 PINE RIDGE BLVD, SUITE 220A
WAUSAU, WI 54401
Marathon County (715) 847-2070
NAM D DOAN M.D.
Anesthesiology
425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401
Marathon County (715) 845-5505
JON M FRAZIER
Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, STE 211
WAUSAU, WI 54401
Marathon County (715) 845-5505
JAMES KAROW CRNA
Nurse Anesthetist, Certified Registered
425 PINE RIDGE BLVD, SUITE 211
WAUSAU, WI 54401
Marathon County (715) 845-5505

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.

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, Aspirus Tomahawk Hospital 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.