CLIFFORD C TENNER (MD) – Family Medicine Physician, NPI 1376525519

CLIFFORD C TENNER (MD) is a healthcare provider. based in New richmond, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 33582 (WI). The NPI Number for CLIFFORD C TENNER (MD) is 1376525519

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
CLIFFORD C TENNER (MD)
NPI
1376525519
Phone
(715) 246-6911
Address
551 HOSPITAL RD
Enumeration Date
15 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7152432600
Graduation Year
1989 (37 years ago)
PAC ID
4284714924
Group Practice PAC ID
2264490960
Professional Enrollment ID
I20090330000198
Address ID
WI540171449NE535XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

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Provider Addresses for CLIFFORD C TENNER (MD)

  • 551, Hospital Road, New Richmond, Saint Croix County, Wisconsin, 54017, United States

    NEW RICHMOND, WI 540171449

    Phone: (715) 246-6911

    Fax: (715) 246-7287

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090330000198IFamily PracticeWITBD
I20210730001371IFamily PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54017)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264490960View full group profile
NameSpecialtyState
Physician AssistantWI
Internal MedicineMN
Hospitalist, Internal MedicineMN
Family PracticeMN
Certified Registered Nurse Anesthetist (Crna)WI
Family PracticeWI
Family PracticeWI
Emergency MedicineMN
Family PracticeWI
Internal MedicineOR

Reviews

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Frequently asked questions

Can I cross-check CLIFFORD C TENNER (MD) using NPI 1376525519?
NPI 1376525519 belongs to CLIFFORD C TENNER (MD); compare other details if you need extra assurance.
Is CLIFFORD C TENNER (MD) still an active registrant?
CLIFFORD C TENNER (MD) carries an active NPI according to the public dataset.
What area of care is associated with CLIFFORD C TENNER (MD)?
CLIFFORD C TENNER (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CLIFFORD C TENNER (MD) located near New Richmond?
CLIFFORD C TENNER (MD) currently maps to New Richmond, Wisconsin in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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