Sleep Apnea Care and Wellness LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SLEEP APNEA CARE AND WELLNESS LLC

Doing business as

Koala Center for Sleep Disorders

Practice address

413 N 17TH Ave Ste 100
Wausau, WI 54401-4287

Phone

(715) 218-4900

Fax

(715) 355-5790

NPI assigned

Mar 5, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rodney Earl Willey, DDSNPI 1144409806

Title

Owner

Phone

(309) 376-8385

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Koala Center for Sleep Disorders Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sleep Apnea Care and Wellness, LLC

  • Durable Medical Equipment & Medical Supplies
  • Plover, WI
  • NPI 1689106387

  O20140721001049

  Same enrollment

Tax ID family

Sleep Apnea Care and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sleep Apnea Care and Wellness LLC

  • Durable Medical Equipment & Medical Supplies
  • Wausau, WI
  • NPI 1407246101
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rodney Earl Willey, DDS

  • Dentist
  • Dunlap, IL
  • NPI 1144409806

  WI

  Medicare reassignment Care Compare group NPD Authorized official
• Brenda B. Mittelsteadt, BSN. FNP

  • Nurse Practitioner
  • Schofield, WI
  • NPI 1003818857
  Medicare reassignment Care Compare group NPD
• Jackie Marie Rietz, APNP, FNP-C

  • Nurse Practitioner
  • Wausau, WI
  • NPI 1326691254
  Medicare reassignment NPD
• Brian Sorensen

  • General Practice Dentistry
  • Mosinee, WI
  • NPI 1194212639
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1114342847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S 18TH AVE",
            "address_2": "SUITE 300",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014208",
            "telephone_number": "715-218-4900",
            "fax_number": "715-355-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N 17TH AVE STE 100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014287",
            "telephone_number": "715-218-4900",
            "fax_number": "715-355-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP APNEA CARE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "WILLEY",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-376-8385",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "3272",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "7230170001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koala Center for Sleep Disorders",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Koala Center for Sleep Disorders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Skaistis, PHD
• Deborah Skop, LPN
• Melissa R Skrzypchak, SOCIAL WORKER
• Rachel Slaby, PA
• Karen Slattery, CSAC
• Sleep Apnea Care and Wellness LLC
• Sleep Health Wisconsin LLC
• Tisha Dawn Sleiter, MSW, LCSW
• David Arthur Sliefert, MA, LPC
• Shelly M Slusarek, OTR

• Customized Equipment (DME) in Wausau, WI
• Providers in Wausau, WI by specialty
• Customized Equipment (DME) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.