Wisconsin Access National, LLC

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

WISCONSIN ACCESS NATIONAL, LLC

Practice address

910 Elm Grove Rd Ste 16
Elm Grove, WI 53122-2531

Phone

(985) 768-0411

NPI assigned

Feb 15, 2023

Organization subpart

Yes

Parent organization

ACCESS HOME CARE SOLUTIONS, LLCAs reported in NPPES

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

Authorized official

Name

Richard T Clementi

Title

Ceo

Phone

(985) 768-0411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Part of

Access Home Care Solutions LLC

Practitioners 1

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

• Tod Alan Aust

  • Interventional Pain Medicine Physician
  • Slidell, LA
  • NPI 1609191212
  NPD (past)

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1912605361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 LINDBERG DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588057",
            "telephone_number": "985-707-2790",
            "fax_number": "985-707-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ELM GROVE RD STE 16",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222531",
            "telephone_number": "985-768-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN ACCESS NATIONAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCESS HOME CARE SOLUTIONS, LLC",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "CLEMENTI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-768-0411"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Michelle Welk-Richards, PHD, MSW, LCSW, CEDS
• Amanda Lee Westerlund, IT
• Whyoga Inc
• Luciana Miranda Wiltse, DDS, MS
• Nancy Winston, LPC-IT
• Wisconsin Vision, LLC
• Brian Gordon Wisniewski, HIS
• Amy Elizabeth Wroblewski
• Theresa J Zakutansky, MSW
• Maria Therese Zanoni, P.T.

• Home Infusion Agency in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Home Infusion Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.