Aspirus Eagle River Hospital – Emergency Medicine Physician, NPI 1699728915
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Aspirus Eagle River Hospital
29980 NETWORK PL
CHICAGO, IL 606731299
Phone: (715) 847-2304
Fax: (715) 843-1188
Type: Mailing
Eagle River, Vilas County, Wisconsin, 54521, United States
EAGLE RIVER, WI 545218835
Phone: (715) 479-7411
Type: Location
Woodruff Post Office, West First Avenue, Woodruff, Navajo County, Arizona, 85942, United States
WOODRUFF, WI 545682119
Phone: (715) 356-8160
Fax: (715) 356-8286
Type: Mailing
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.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (708 days ago).
Enrollment records
2
Earliest due date
2024-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040518000233 | O | Clinic/Group Practice | WI | 2024-06-30 |
| O20061104000603 | O | Critical Access Hospital | WI | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 60673)
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