Organization Active NPI

Medical Care Innovation, P.C.

  • Primary Care Clinic/Center
  • Advance, NC
National Provider Identifier
1285593632
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEDICAL CARE INNOVATION, P.C.
Practice address
132 Ashley Furniture Way
Advance, NC 27006
Phone
(414) 566-8400
Fax
(414) 566-8400
NPI assigned
Jan 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Robert L Poulsen
Title
Chief Financial Officer
Phone
(414) 566-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

132 Ashley Furniture Way
Advance, NC 27006

Mailing address

W227N6103 Sussex Rd
Sussex, WI 53089-3969
Phone (414) 566-8400

National Provider Directory

National Provider Directory
Tax ID family
Quad Med Managment LLC56 organizations share this tax ID, including this one

NPI Registry JSON

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

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1285593632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W227N6103 SUSSEX RD",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893969",
            "telephone_number": "414-566-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ASHLEY FURNITURE WAY",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "27006",
            "telephone_number": "414-566-8400",
            "fax_number": "414-566-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARE INNOVATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "POULSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "414-566-8400"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Advance, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.