ESSENTIA HEALTH ASHLAND CLINIC
NPI 1215974357
Clinic/Center - Multi-Specialty in Ashland, WI
NPI Status: Active since May 31, 2006
Contact Information
1615 MAPLE LN STE 1
ASHLAND, WI
ZIP 54806
Phone: (715) 685-7500
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 52D0396956
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-09-2025
About ESSENTIA HEALTH ASHLAND CLINIC
This page provides the complete NPI Profile along with additional information for Essentia Health Ashland Clinic, a provider established in Ashland, Wisconsin operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1215974357 assigned on May 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Essentia Health Ashland Clinic. The authorized official of this NPI record is Kevin Boren (Vp Of Finance)
- NPI
- 1215974357
- Provider Legal Name
- THE DULUTH CLINIC, LTD
- Other Organization Name
- ESSENTIA HEALTH ASHLAND CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1615 MAPLE LN STE 1 ASHLAND, WI 54806
- Location Phone
- (715) 685-7500
- Mailing Address
- 1615 MAPLE LN STE 1 ASHLAND, WI 54806
- Mailing Phone
- (715) 685-7500
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-31-2006
- Last Update Date
- 02-28-2024
- Code Navigator
Location Map
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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Essentia Choice Care with Medica Bronze Share - EPO
- Essentia Choice Care with Medica Bronze Share - HMO
- Essentia Choice Care with Medica Expanded Bronze Standard - EPO
- Essentia Choice Care with Medica Expanded Bronze Standard - HMO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Gold Share - EPO
- Essentia Choice Care with Medica Gold Share - HMO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Select $1,500 - 25% - EPO
- Select $3,500 - 30% - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32829200 | MEDICAID (05) | WI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0396956
- Facility Type
- Physician Office
- Certificate Effective Date
- December 10, 2023
- Certificate Expiration Date
- December 09, 2025
- Laboratory Director
- DR. PATRICK TWOMEY
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Essentia Health Ashland Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for ESSENTIA HEALTH ASHLAND CLINIC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 9 | 7 | 4 | 3 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 18 | 7 | 8 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 1 + 8 + 7 + 8 + 3 + 1 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1215974357 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891763090 | MICHAELENE PHEIFER JANSEN RN, CNP Individual | Nurse Practitioner (Family) | 1615 MAPLE LN STE 1 ESSENTIA HEALTH ASHLAND CLINIC ASHLAND, WI 54806 (715) 685-7500 |
| 1184669517 | CHARLES KENDALL BERTEL Individual | Surgery | 1615 MAPLE LN STE 1 ASHLAND, WI 54806 (715) 685-7500 |
| 1518994870 | GERALD MARK KUBIK Individual | Pediatrics | 1615 MAPLE LN STE 1 ASHLAND, WI 54806 (715) 685-7500 |
| 1841223252 | MAXINE LYNN PAQUET Individual | Nurse Practitioner (Family) | 1615 MAPLE LN STE 1 ASHLAND, WI 54806 (715) 685-7500 |
| 1083648521 | ROBERT GORDON LIND MD Individual | Radiology (Diagnostic Radiology) | 1615 MAPLE LN STE 1 ASHLAND, WI 54806 (715) 685-7500 |
| 1447276589 | JOHN CHARLES OUJIRI Individual | Family Medicine | 1615 MAPLE LN STE 1 ASHLAND, WI 54806 (715) 685-7500 |
| 1962428029 | JANICE M PENN Individual | Nurse Practitioner (Adult Health) | 1615 MAPLE LN STE 1 ESSENTIA HEALTH ASHLAND CLINIC ASHLAND, WI 54806 (715) 685-7500 |
| 1316056112 | MARY LEE VITEK RN, CNP Individual | Nurse Practitioner (Family) | 1615 MAPLE LN STE 1 ESSENTIA HEALTH ASHLAND CLINIC ASHLAND, WI 54806 (715) 685-7500 |
| 1174699268 | CLAIR MARCUS MORUD Individual | Internal Medicine | 1615 MAPLE LN STE 1 ASHLAND, WI 54806 (715) 685-7500 |
| 1164613527 | CAROL BUSHMAN Individual | Nurse Practitioner (Adult Health) | 1615 MAPLE LN STE 1 ASHLAND, WI 54806 (715) 685-7500 |
| 1235324781 | KIM MARIE OGLE MD Individual | Internal Medicine | 1615 MAPLE LN STE 1 ESSENTIA HEALTH ASHLAND CLINIC ASHLAND, WI 54806 (715) 685-7500 |
| 1992033773 | SUSAN KAY BARNINGHAM RN, CNP Individual | Nurse Practitioner (Adult Health) | 1615 MAPLE LN STE 1 ESSENTIA HEALTH ASHLAND CLINIC ASHLAND, WI 54806 (715) 685-7500 |
| 1891177671 | HALEY STELLMACHER APRN, CNP Individual | Nurse Practitioner (Family) | 1615 MAPLE LN STE 1 ESSENTIA HEALTH ASHLAND CLINIC ASHLAND, WI 54806 (715) 685-7500 |
| 1225409774 | ERIKA LYNN CARRIER PA-C Individual | Physician Assistant (Medical) | 1615 MAPLE LN STE 1 ESSENTIA HEALTH ASHLAND CLINIC ASHLAND, WI 54806 (715) 685-7500 |
| 1124289483 | BERET ANN CASEY M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1615 MAPLE LN STE 1 ASHLAND, WI 54806 (715) 685-7500 |
| 1578056990 | SHELBY LEE LARSON APRN/CNP Individual | Nurse Practitioner (Family) | 1615 MAPLE LN STE 1 ASHLAND, WI 54806 (715) 685-7500 |
| 1922305655 | DENISE M LUND APRN, DNP Individual | Nurse Practitioner (Adult Health) | 1615 MAPLE LN STE 1 ASHLAND, WI 54806 (715) 685-7500 |
| 1417020793 | DR. KRISTINE G MATSON MD Individual | Preventive Medicine (Addiction Medicine) | 1615 MAPLE LN STE 1 ASHLAND, WI 54806 (715) 685-7500 |
| 1710366364 | JENNA FOX M.D. Individual | Family Medicine | 1615 MAPLE LN STE 1 ASHLAND, WI 54806 (715) 685-7500 |
| 1144205618 | DR. JACKIE LYNN YAEGER M.D. Individual | Family Medicine (Hospice and Palliative Medicine) | 1615 MAPLE LN STE 1 ASHLAND, WI 54806 (715) 685-7500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215974357, enumerated in the NPI registry as an "organization" on May 31, 2006
The provider is located at 1615 Maple Ln Ste 1 Ashland, Wi 54806 and the phone number is (715) 685-7500
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 52D0396956 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on May 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.