Active NPI
PPM Wisconsin LLC
- Multi-Specialty Clinic/Center
- Germantown, WI
National Provider Identifier
1811601776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- PPM WISCONSIN LLC
- Practice address
- W175N11117 Stonewood Dr Ste 100
Germantown, WI 53022-6505 - Phone
- (888) 253-6598
- NPI assigned
- Jan 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber L Tueller
- Title
- Secretary
- Phone
- (208) 207-2726
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
W175N11117 Stonewood Dr Ste 100
Germantown, WI 53022-6505
Mailing address
W175N11117 Stonewood Dr Ste 100
Germantown, WI 53022-6505
Phone (888) 253-6598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Mequon, WI
- NPI 1952079568
-
- Acute Care Nurse Practitioner
- Sheboygan, WI
- NPI 1275471278
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699783894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749168000000",
"number": "1811601776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W175N11117 STONEWOOD DR STE 100",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530226505",
"telephone_number": "888-253-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W175N11117 STONEWOOD DR STE 100",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530226505",
"telephone_number": "888-253-6598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PPM WISCONSIN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-05",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A",
"authorized_official_last_name": "TUELLER",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "208-207-2726"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.