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Organization Active NPI

Winnebago Mental Health Institute

  • Psychiatric Hospital
  • Winnebago, WI
National Provider Identifier
1164516506
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
250 Issued in WI
Legal business name
WINNEBAGO MENTAL HEALTH INSTITUTE
Practice address
1300 South Drive
Winnebago, WI 54985-0009
Phone
(920) 235-4910
Fax
(920) 237-2043
NPI assigned
Oct 2, 2006
Organization subpart
Yes
Parent organization
STATE OF WISCONSINAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Maria A Coonen
Title
Facility Director
Phone
(920) 235-4910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 250 WI Primary

Addresses

Primary practice location

1300 South Drive
Winnebago, WI 54985-0009

Mailing address

PO Box 9
1300 South Drive
Winnebago, WI 54985-0009
Phone (920) 235-4910

Other identifiers 1

IdentifierTypeStateIssuer
10063000MedicaidWI

Other names 1

  • Winnebago Mental Health Institute Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050214000153 WI Part B Supplier - Clinic/Group Practice 9234181751 Receives reassigned benefits from 19 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Madison, WI; Winnebago, WI; Union Grove, WI; Chippewa Falls, WI
O20110302000345 WI Part A Provider - Hospital 9234181751 Practice locations: Winnebago, WI

Hospital certification: CCN 524002

Legal name
STATE OF WISCONSIN
Doing business as
WINNEBAGO MENTAL HEALTH INSTITUTE
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1966
Last certification
Feb 28, 2018
Beds
315
Ownership / control type
State
Organization structure
GovernmentNon-profit
Enrollment address
4100 Treffert Drive
Winnebago, WI 54985-0009
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Winnebago Mental Health InstituteCCN 524002
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

301 Troy Dr
Madison, WI 53704
Phone (608) 301-1000

21425 Spring St
Union Grove, WI 53182
Phone (262) 878-2411

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christopher Craggs Individual Corporate OfficerDeputy Director Jul 26, 2018 100%
Operational/Managerial ControlDeputy Director Jul 26, 2019 100%
State of Wisconsin Organization, Winnebago, WI 5% Or Greater Direct Ownership Interest Nov 2, 2015 100%
Operational/Managerial Control Nov 2, 2015 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • State of Wisconsin
    • General Acute Care Hospital
    • Madison, WI
    • NPI 1437253648

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mendota Mental Health InstituteMadison, WI, CCN 524008 Hospital Other (100%) Apr 22, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 51

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

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1164516506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "address_2": "1300 SOUTH DRIVE",
            "city": "WINNEBAGO",
            "state": "WI",
            "postal_code": "549850009",
            "telephone_number": "920-235-4910",
            "fax_number": "920-237-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SOUTH DRIVE",
            "city": "WINNEBAGO",
            "state": "WI",
            "postal_code": "549850009",
            "telephone_number": "920-235-4910",
            "fax_number": "920-237-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNEBAGO MENTAL HEALTH INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF WISCONSIN",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "COONEN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "920-235-4910"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "WI",
            "license": "250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10063000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winnebago Mental Health Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winnebago, WI

Sources for this page

Verify at the official NPI Registry.