County of Bayfield

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

COUNTY OF BAYFIELD

Practice address

117 E Sixth Street
Washburn, WI 54891-1142

Phone

(715) 373-6109

Fax

(715) 373-6307

NPI assigned

Feb 6, 2007

Organization subpart

Yes

Parent organization

COUNTY OF BAYFIELDAs reported in NPPES

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

Authorized official

Name

Anne-Marie Coy, RS/REHS, MPH

Title

Director/Health Officer

Phone

(715) 373-3321

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Bayfield County Health Department Other name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Bayfield Coutny Nursing

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa L Nicoletti, RDH

  • Dental Hygienist
  • Washburn, WI
  • NPI 1407182009
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1861531683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548911142",
            "telephone_number": "715-373-6109",
            "fax_number": "715-373-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E SIXTH STREET",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548911142",
            "telephone_number": "715-373-6109",
            "fax_number": "715-373-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BAYFIELD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF BAYFIELD",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-07-07",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "COY",
        "authorized_official_first_name": "ANNE-MARIE",
        "authorized_official_title_or_position": "DIRECTOR/HEALTH OFFICER",
        "authorized_official_telephone_number": "715-373-3321",
        "authorized_official_credential": "RS/REHS, MPH"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43081400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41521600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44008600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41851800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayfield County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayfield County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayfield County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chequamegon Counseling, LLC
• Samuel F Christman, LPC
• City of Washburn
• Confluence Counseling Services LLC
• Dori Lynn Cook, PTA
• Jared Robert Dvorak, PT, DPT
• Timothy Phillip Faust, MSW
• Sherry Ann Fowler, PHD., D.O.
• Ann Marie Glavan, RPT
• Grabiner LLC

• Primary Care Clinic/Center in Washburn, WI
• Providers in Washburn, WI by specialty
• Primary Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.