NPIMap

Organization Active NPI

Upland Hills Health, Inc

Doing business as Upland Hills Health Clinic - Mt Horeb

  • Family Medicine Physician
  • Mount Horeb, WI
National Provider Identifier
1245628452
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UPLAND HILLS HEALTH, INC
Doing business as
Upland Hills Health Clinic - Mt Horeb
Practice address
1809 Springdale Street
Mount Horeb, WI 53572
Phone
(608) 930-8000
NPI assigned
Dec 23, 2014
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Danielle Moyer
Title
Vice President of Finance
Phone
(608) 930-7200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Obstetrics & Gynecology Physician 207V00000X NU

Addresses

Primary practice location

1809 Springdale Street
Mount Horeb, WI 53572

Mailing address

1809 Springdale St
Mount Horeb, WI 53572-2480
Phone (608) 437-8033

Other names 1

  • Upland Hills Health Clinic - Mt Horeb Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081016000442 WI Part B Supplier - Clinic/Group Practice 3072415553 Receives reassigned benefits from 194 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Horeb, WI; Barneveld, WI; Spring Green, WI; Montfort, WI; Mineral Point, WI; Highland, WI; Dodgeville, WI; Darlington, WI

Other NPIs on the same Medicare enrollment 17

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

View all 17

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2094901Upland Hills Health Clinic - Mt Horeb1809 Springdale St, Mount Horeb, WI 53572Certificate of waiverSep 10, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1245628452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 SPRINGDALE ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535722480",
            "telephone_number": "608-437-8033",
            "fax_number": "608-437-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 SPRINGDALE STREET",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "53572",
            "telephone_number": "608-930-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLAND HILLS HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "608-930-7200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upland Hills Health Clinic - Mt Horeb",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Horeb, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.