DR. TRACI ELIZABETH KRUSE (MD) – Surgery Physician, NPI 1942375324

DR. TRACI ELIZABETH KRUSE (MD) is a healthcare provider. based in Fond du lac, Wisconsin. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 55345 (MN). The NPI Number for DR. TRACI ELIZABETH KRUSE (MD) is 1942375324

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRACI ELIZABETH KRUSE (MD)
NPI
1942375324
Phone
(920) 926-8343
Address
420 E DIVISION ST
Enumeration Date
21 November 2006
Last Update Date
22 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9209237400
Graduation Year
2006 (20 years ago)
PAC ID
1052568508
Group Practice PAC ID
1658289624
Professional Enrollment ID
I20200904001593
Address ID
WI549354560FO420XXSTXX400

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
tkruse380446@direct-ehr-ssmhc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

848 GENERAL SURGERY in WI

Provider Addresses for DR. TRACI ELIZABETH KRUSE (MD)

  • 420 E DIVISION ST

    FOND DU LAC, WI 549354560

    Phone: (920) 926-8343

    Type: Mailing

  • Avera Marshall Regional Medical Center, 300, South Bruce Street, Marshall, Lyon County, Minnesota, 56283, United States

    AVERA MARSHALL

    MARSHALL, MN 562581934

    Phone: (507) 537-9007

    Fax: (507) 537-2755

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $2,986.

Total Amount is formed as General ($2,986) + Research ($0) + Ownership ($0) = $2,986.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,986).

Total Amount

$2,986

General + Research + Ownership

Payments

16

Total payment records

General Amount

$2,986

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$2,986
View all Open Payments →|Open Payments Risk Radar →

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: 2020-09-04

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
I20120906000099IGeneral SurgeryMNTBD
I20200904001593IGeneral SurgeryWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 54935)

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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: 1658289624View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
-WI
U R O L O G YWI
-WI
P S Y C H I A T R YWI
Certified Registered Nurse Anesthetist (Crna)WI
Vascular Surgery, General SurgeryWI
-ND
Nephrology, Internal MedicineWI
Family PracticeWI

Reviews

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Frequently asked questions

Does DR. TRACI ELIZABETH KRUSE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. TRACI ELIZABETH KRUSE (MD) uses 1942375324.
Does the file indicate DR. TRACI ELIZABETH KRUSE (MD) is practicing under active NPI?
Directory data currently reports DR. TRACI ELIZABETH KRUSE (MD) as active.
What is DR. TRACI ELIZABETH KRUSE (MD)'s specialty?
The listing groups DR. TRACI ELIZABETH KRUSE (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. TRACI ELIZABETH KRUSE (MD)?
DR. TRACI ELIZABETH KRUSE (MD)'s geographic hint is Fond Du Lac, Wisconsin in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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