Active NPI 1386664423 Individual Practitioner Female Practitioner

Heather Gruszynski , NP

Nurse Practitioner • Iola, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Heather Gruszynski, NP is a certified Nurse Practitioner practicing in Iola, WI. With approximately 28 years of clinical experience since completing medical education in 1998, Heather Gruszynski delivers high-quality medical care to the local community at 160 S CHET KRAUSE DR.

Heather Gruszynski maintains professional affiliations with Thedacare, Incorporated, Aspirus Medford Hospital And Clinics Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

160 S Chet Krause Dr

Iola, WI 549459114

Telephone 7154452228

Fax 7154454442

Associated Practice Facility / Clinic

🏢 Thedacare, Incorporated Facility NPI 1760528798

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Iola, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +1.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Iola, WI (4030 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gruszynski (28 Years) 28 Yrs

Iola Specialty Average (26.5 Years) 26.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	115	46	$13.00	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	50	$389.80	$102.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$434.70	$103.51
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	41	33	$61.60	$13.13
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$263.00	$72.54
G0008 Administration of influenza virus vaccine	14	13	$77.20	$30.42
90662 Influenza vaccine split virus, preservative free	14	13	$149.20	$81.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	143	49	$13.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	59	$379.20	$102.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$422.90	$103.54
99213 Established patient office or other outpatient visit, typically 15 minutes	28	18	$255.80	$72.51
G0008 Administration of influenza virus vaccine	28	26	$78.70	$28.93
90662 Influenza vaccine split virus, preservative free	26	24	$145.10	$71.28
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	11	11	$63.40	$5.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	134	49	$16.05	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	54	$361.85	$104.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$403.55	$105.96
G0008 Administration of influenza virus vaccine	27	25	$73.85	$28.08
90662 Influenza vaccine split virus, preservative free	23	22	$139.40	$67.83
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$244.10	$73.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	74	$349.78	$105.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$389.55	$107.81
36415 Insertion of needle into vein for collection of blood sample	35	25	$15.75	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	31	25	$235.19	$74.36
G0008 Administration of influenza virus vaccine	29	28	$71.48	$16.26
90662 Influenza vaccine split virus, preservative free	28	27	$134.89	$64.50
77067 Screening mammography	14	14	$564.76	$90.82
77063 Screening digital tomography of both breasts	14	14	$137.40	$23.99
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	13	13	$58.48	$6.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	78	$334.58	$88.56
99213 Established patient office or other outpatient visit, typically 15 minutes	49	38	$225.72	$61.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$373.14	$94.60
36415 Insertion of needle into vein for collection of blood sample	41	31	$13.26	$2.95
G0008 Administration of influenza virus vaccine	33	31	$68.96	$16.21
90662 Influenza vaccine split virus, preservative free	32	30	$128.72	$60.22
77067 Screening mammography	19	19	$553.34	$94.04
77063 Screening digital tomography of both breasts	18	18	$134.22	$23.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	119	56	$12.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	47	$308.96	$88.59
99213 Established patient office or other outpatient visit, typically 15 minutes	44	31	$209.00	$60.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$345.04	$94.33
G0008 Administration of influenza virus vaccine	26	26	$68.17	$15.92
90662 Influenza vaccine split virus, preservative free	21	21	$117.14	$54.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$125.68	$36.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	103	47	$11.89	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	45	$295.00	$88.00
99213 Established patient office or other outpatient visit, typically 15 minutes	46	32	$199.00	$59.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$329.00	$95.08
G0008 Administration of influenza virus vaccine	24	23	$65.00	$19.63
90662 Influenza vaccine split virus, preservative free	20	19	$100.00	$52.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$120.00	$35.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	81	47	$10.69	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	44	$286.00	$87.82
80048 Blood test, basic group of blood chemicals (calcium, total)	56	43	$58.41	$10.25
99213 Established patient office or other outpatient visit, typically 15 minutes	52	40	$193.00	$59.64
80061 Blood test, lipids (cholesterol and triglycerides)	34	26	$73.97	$13.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$307.00	$94.22
G0008 Administration of influenza virus vaccine	24	24	$63.00	$24.29
84443 Blood test, thyroid stimulating hormone (TSH)	22	21	$92.84	$22.59
83036 Hemoglobin A1C level	22	17	$53.63	$13.05
90662 Influenza vaccine split virus, preservative free	22	22	$86.00	$47.77
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	19	17	$52.25	$10.45
G0009 Administration of pneumococcal vaccine	11	11	$63.00	$24.29

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 2361-033

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

41251300 (WI)

Commercial Insurance / Payer ID Railroad Medicare

P00350244 (WI)

Hospital & Practice Group Affiliations

Thedacare, Incorporated

710 Riverside Dr, Waupaca, WI 549811941

Phone: 7152563000

Thedacare, Incorporated

160 S Chet Krause Dr, Iola, WI 549459114

Phone: 7154452228

Thedacare, Incorporated

4480 W Spencer St, Appleton, WI 54915

Phone: 9207384800

Aspirus Medford Hospital And Clinics Inc

625 Peterson Ave, Phillips, WI 545551452

Phone: 7154275701

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 12, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 12, 2008

Registered at 160 S CHET KRAUSE DR, IOLA, WI 549459114 (Tel: 7154452228)

📍

Updated Business Mailing Address March 12, 2008

Registered at 710 RIVERSIDE DR, WAUPACA, WI 549811941 (Tel: 7152563062)

👤

Provider Name / Credentials Updated March 12, 2008

Recorded as HEATHER GRUSZYNSKI, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2008

Nurse Practitioner (License #2361-033 in WI)

🟢

Initial NPI Registration & Enumeration July 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386664423

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 20, 2006

Last Update: March 12, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

710 Riverside Dr

Waupaca, WI 549811941

Phone: 7152563062

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.