Active NPI
Wendi Ann Butkovich, CGCM
- Case Manager/Care Coordinator
- Menasha, WI
National Provider Identifier
1437093192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 100063461
- Practice address
- 449 Ahnaip St
Menasha, WI 54952-3355 - Phone
- (920) 509-3054
- NPI assigned
- Apr 15, 2026
- Last updated
- Apr 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 100063461 | WI | Primary |
Addresses
Primary practice location
449 Ahnaip St
Menasha, WI 54952-3355
Mailing address
449 Ahnaip St
Menasha, WI 54952-3355
Phone (920) 509-3054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100063461 | WI | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patriot Partners Removal | Single Specialty | Current | Accepting new patients |
Locations
449 Ahnaip St
Menasha, WI 54952
Phone (920) 214-3204
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1437093192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 AHNAIP ST",
"city": "MENASHA",
"state": "WI",
"postal_code": "549523355",
"telephone_number": "920-509-3054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 AHNAIP ST",
"city": "MENASHA",
"state": "WI",
"postal_code": "549523355",
"telephone_number": "920-509-3054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTKOVICH",
"first_name": "WENDI",
"middle_name": "ANN",
"credential": "CGCM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-15",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WI",
"license": "100063461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.