Active NPI
University of Wisconsin System Non Payroll
Doing business as Wausau Family Medicine
- Multi-Specialty Clinic/Center
- Wausau, WI
National Provider Identifier
1487978839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
- Doing business as
- Wausau Family Medicine
- Practice address
- 425 Wind Ridge Dr
Wausau, WI 54401-1897 - Phone
- (715) 675-5201
- NPI assigned
- Mar 15, 2010
- Organization subpart
- Yes
- Parent organization
- UNIVERSITY OF WISCONSIN SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzanne L Zimmerman
- Title
- Director, Patient Business Services
- Phone
- (608) 829-5625
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
425 Wind Ridge Dr
Wausau, WI 54401-1897
Mailing address
7974 Uw Health Court
Middleton, WI 53562-5531
Phone (608) 829-5485
Other names 1
- Wausau Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031204001102 | WI | Part B Supplier - Clinic/Group Practice | 9133024888 |
Receives reassigned benefits from 205 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Madison, WI; Verona, WI; Middleton, WI; Belleville, WI |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Waisman Center TIES Clinic
- Adult Mental Health Clinic/Center
- Madison, WI
- NPI 1184746828
O20031204001102
-
dba UW Health
- Multi-Specialty Clinic/Center
- Madison, WI
- NPI 1346266319
O20031204001102
National Provider Directory
National Provider Directory- Part of
- Uw Systems
Locations
750 Highland Ave
Madison, WI 53705
Phone (608) 263-4900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733270400000",
"number": "1487978839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH COURT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531",
"telephone_number": "608-829-5485",
"fax_number": "608-833-6965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 WIND RIDGE DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544011897",
"telephone_number": "715-675-5201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNIVERSITY OF WISCONSIN SYSTEM",
"enumeration_date": "2010-03-15",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A",
"authorized_official_last_name": "ZIMMERMAN",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR, PATIENT BUSINESS SERVICES",
"authorized_official_telephone_number": "608-829-5625"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wausau Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wausau, WI
- Michael A Umland, MD
- Karen Ungerer, RDH, MS
- United Taxi LLC (All American Taxi)
- University of Wisconsin Medical Foundation
- University of Wisconsin Medical Foundation, Inc (Wausau Family Medicine)
- Elizabeth Jane Unrath, MA
- Urology Specialists of Wisconsin SC
- Minfang Utterback, RN
- Ann Marie Valentine, O.T.R.
- Alysia Van Boxtel
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.