Active NPI
Coachflow Medical Corporation
- Family Medicine Physician
- Oconomowoc, WI
National Provider Identifier
1184577330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COACHFLOW MEDICAL CORPORATION
- Practice address
- 1420 Blazing Star Dr
Oconomowoc, WI 53066-3552 - Phone
- (800) 674-3766
- NPI assigned
- Feb 17, 2026
- Last updated
- Feb 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Ann Quinn, MD
- Title
- President
- Phone
- (800) 674-3766
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1420 Blazing Star Dr
Oconomowoc, WI 53066-3552
Mailing address
1401 21St St Ste R
Sacramento, CA 95811-5226
Phone (800) 674-3766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771286400000",
"number": "1184577330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 21ST ST STE R",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958115226",
"telephone_number": "800-674-3766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 BLAZING STAR DR",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530663552",
"telephone_number": "800-674-3766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COACHFLOW MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-17",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A",
"authorized_official_last_name": "QUINN",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-674-3766",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oconomowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.