Organization Active NPI

Oasis Health Care LLC

  • Urgent Care Clinic/Center
  • Grafton, WI
National Provider Identifier
1396338257
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
OASIS HEALTH CARE LLC
Practice address
1505 Wisconsin Ave Ste 150
Grafton, WI 53024-2075
Phone
(262) 421-8961
Fax
(262) 618-3045
NPI assigned
Feb 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Laura McKinnis, APNPNPI 1497931943
Title
Owner
Phone
(262) 421-8961

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)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1505 Wisconsin Ave Ste 150
Grafton, WI 53024-2075

Mailing address

1505 Wisconsin Ave Ste 150
Grafton, WI 53024-2075
Phone (262) 421-8961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221205002289 WI Part B Supplier - Clinic/Group Practice 1456766815 Receives reassigned benefits from 3 practitioners
Practice locations: Grafton, WI

National Provider Directory

National Provider Directory

Locations

1505 Wisconsin Ave
Ste 150
Grafton, WI 53024
Phone (262) 421-8961

Practitioners & affiliated clinicians

Practitioners 3

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": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1396338257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WISCONSIN AVE STE 150",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242075",
            "telephone_number": "262-421-8961",
            "fax_number": "262-618-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WISCONSIN AVE STE 150",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242075",
            "telephone_number": "262-421-8961",
            "fax_number": "262-618-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "MCKINNIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-421-8961",
        "authorized_official_credential": "APNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.

Verify at the official NPI Registry.