ELITE MALE T CLINIC, LLC DBA ELITE HORMONES
NPI 1629916192
Integrative Medicine in Wausau, WI

NPI Status: Active since March 24, 2026

Contact Information

505 S 24TH AVE STE 204
WAUSAU, WI
ZIP 54401
Phone: (715) 240-4150

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  • Organization
  • Integrative Medicine

About ELITE MALE T CLINIC, LLC DBA ELITE HORMONES

This page provides the complete NPI Profile along with additional information for Elite Male T Clinic, Llc Dba Elite Hormones, a provider established in Wausau, Wisconsin operating as a Integrative Medicine. The healthcare provider is registered in the NPI registry with number 1629916192 assigned on March 2026. The practitioner's primary taxonomy code is 202D00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Anne Ivaska Apnp (Owner)

NPI
1629916192
Provider Name
ELITE MALE T CLINIC, LLC DBA ELITE HORMONES
Entity Type
Organization
Location Address
505 S 24TH AVE STE 204 WAUSAU, WI 54401
Location Phone
(715) 240-4150
Mailing Address
3164 SHADY LN STEVENS POINT, WI 54481
Mailing Phone
(715) 370-0380
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2026
Last Update Date
03-24-2026
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Location Map

Secondary Locations

  • 2633 N Clairemont Ave
    Eau Claire, WI 54703
    (715) 240-4150
  • 7704 Terrace Ave Ste 1
    Middleton, WI 53562
    (715) 240-4150

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

Integrative Medicine

Taxonomy Code
202D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

ANNE IVASKA APNP

Authorized Official Title
OWNER
Authorized Official Phone
(715) 370-0380

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629916192, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 9 → 18 → 9 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 1 + 8 + 1 + 1 + 2 + 1 + 1 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1629916192.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner
505 S 24TH AVE STE 204
WAUSAU, WI 54401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629916192, enumerated as an "organization" on March 24, 2026.

The provider is located at 505 S 24TH AVE STE 204 WAUSAU, WI 54401 and the phone number is (715) 240-4150.

Integrative Medicine with taxonomy code 202D00000X.