Pivotal Health, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PIVOTAL HEALTH, INC.

Practice address

3030 Laura LN Ste 130
Middleton, WI 53562-1872

Phone

(888) 688-4746

NPI assigned

Oct 23, 2020

Last updated

Nov 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Salvatore Pier Braico

Title

Chief Executive Officer

Phone

(608) 213-8246

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23915/brand/1/csg/1/fhir/r4

Practitioners 23

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.

• John A Culp, MD

  • Emergency Medicine Physician
  • Janesville, WI
  • NPI 1497792139
  Medicare reassignment NPD
• Kimberly Curran, APNP

  • Nurse Practitioner
  • Madison, WI
  • NPI 1154877165
  Medicare reassignment NPD
• Jessica A Dekan, APNP

  • Family Nurse Practitioner
  • Greenfield, WI
  • NPI 1699044156
  Medicare reassignment NPD
• Maggie J Grommon, APNP. FNP-BC

  • Nurse Practitioner
  • Madison, WI
  • NPI 1831866367
  Medicare reassignment NPD
• Christie S. Henke, NP

  • Nurse Practitioner
  • Appleton, WI
  • NPI 1871835330
  Medicare reassignment NPD
• Aaron Hoekstra, FNP-C

  • Family Nurse Practitioner
  • Middleton, WI
  • NPI 1609423193
  Medicare reassignment NPD
• Iryna O Janko, FNP

  • Family Nurse Practitioner
  • Franklin, WI
  • NPI 1215520762
  Medicare reassignment NPD
• Alysia M. Krueger, APNP

  • Family Nurse Practitioner
  • Middleton, WI
  • NPI 1770920779
  Medicare reassignment NPD
• Samantha Kubly

  • Nurse Practitioner
  • Middleton, WI
  • NPI 1164154399
  Medicare reassignment NPD
• Erica Soule Linn, APNP, FNP-C

  • Family Nurse Practitioner
  • Waukesha, WI
  • NPI 1518416106
  Medicare reassignment NPD
• Abigail O'Brien, APNP

  • Nurse Practitioner
  • Middleton, WI
  • NPI 1336803378
  Medicare reassignment NPD
• Tina Louise Opelt, RN MS CS FNP

  • Family Nurse Practitioner
  • Black River Falls, WI
  • NPI 1588653919
  Medicare reassignment NPD

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1508465220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 LAURA LN STE 130",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621872",
            "telephone_number": "608-213-8246",
            "fax_number": "608-960-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 LAURA LN STE 130",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621872",
            "telephone_number": "888-688-4746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W134N5500 Campbell Dr",
            "address_purpose": "LOCATION",
            "city": "Menomonee Falls",
            "state": "WI",
            "postal_code": "530517032",
            "country_code": "US",
            "telephone_number": "888-688-4746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIVOTAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "BRAICO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "PIER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "608-213-8246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "test",
            "affiliation": "N",
            "address_1": "3030 Laura Ln Ste 130",
            "city": "Middleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535621872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Petranek, OT
• Lisa Ann Phillips, DPT
• Physical Medicine Rehabilitation Independent Services, SC
• Emilie Pinkovitz, LCSW
• Julia Pitz
• Kayla Plachinski
• Desiree Polodna
• Derrick Gene Prenot, O.D.
• Frances H Priddy, MD
• Elizabeth A Pritts, MD

• Family Medicine Physician in Middleton, WI
• Providers in Middleton, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.