WISCONSIN MEDICAID (NPI# 1538353982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538353982 |
| Entity Type | Organization |
| Organization Name | WISCONSIN MEDICAID |
| Practice Address |
1528 Remington Rd Neenah WI 54956-1696 |
| Mailing Address |
979 Highland Park Rd Neenah WI 54956-1320 |
| Practice Telephone | 9207299887 |
| Mailing Telephone | 9207270441 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. WENDY LEI SELLIER (RN) |
| Authorized Official Telephone | 9207270441 |
| Authorized Official Credential | BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
========= | WI | Nursing & Custodial Care Facilities |
| Street Address |
1528 REMINGTON RD |
| City | NEENAH |
| State | WI |
| Zip Code | 54956-1696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
| 1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
| 1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
| 1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
| 1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
| 1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
| Find all providers in zip 54956 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1720450125 | Independent Nursing | Skilled Nursing Facility | 143 E Pine Hollow Ln Apt 1, Oak Creek, WI 53154-7714 | 2015-10-24 |
| 1528472024 | Colleen L Biller | Skilled Nursing Facility | 1421 S 17th St, Sheboygan, WI 53081-5123 | 2014-06-12 |
| 1154754620 | Private Duty Nursing Service | Skilled Nursing Facility | 1538 Troy Dr Apt 1, Madison, WI 53704-2074 | 2013-08-19 |
| 1023367612 | Johnnie Mae Simmons | Skilled Nursing Facility | 4560 N. 40th St, Milwaukee, WI 53209 | 2012-08-29 |
| 1629302872 | Ashley Zimdahl | Skilled Nursing Facility | N2364 Sunset Dr, Campbellsport, WI 53010-2038 | 2009-09-21 |
| 1760634729 | Regina Angela Lanza | Skilled Nursing Facility | W193s7842 Overlook Bay Rd # 6d, Muskego, WI 53150-7813 | 2008-10-21 |
| 1881865012 | Lisa Salaway | Skilled Nursing Facility | 510 Cabrillo Ct, Verona, WI 53593-8233 | 2008-03-16 |
| 1336340561 | Badgerland Billing LLC | Skilled Nursing Facility | 2632 Smithfield Dr, Fitchburg, WI 53719-1665 | 2007-05-28 |
| 1356303101 | Jeannette Ponder | Skilled Nursing Facility | 3152 N 24th Pl, Milwaukee, WI 53206-1209 | 2006-04-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.