NPIMap

Organization Active NPI

University of Wisconsin System Non Payroll

Doing business as University of Wisconsin-Stout

  • Health Service Clinic/Center
  • Menomonie, WI
National Provider Identifier
1326290768
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
89592-030 Issued in WI
Legal business name
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Doing business as
University of Wisconsin-Stout
Practice address
103 1St Ave W
Menomonie, WI 54751-1876
Phone
(715) 232-1314
NPI assigned
Oct 16, 2008
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Laura CraginNPI 1275886087
Title
Nurse Practitioner
Phone
(715) 232-1314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 89592-030 WI Primary

Addresses

Primary practice location

103 1St Ave W
Menomonie, WI 54751-1876

Mailing address

103 1St Ave W
Menomonie, WI 54751-1876

Other names 1

  • University of Wisconsin-Stout Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Uw Systems-Wausau Fam P25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Practitioners & 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": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1326290768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 1ST AVE W",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 1ST AVE W",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511876",
            "telephone_number": "715-232-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "CRAGIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "715-232-1314"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "89592-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Wisconsin-Stout",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.