NPIMap

Organization Active NPI

Upland Hills Health, Inc

Doing business as Upland Hills Health Clinic - Barneveld

  • Rural Health Clinic/Center
  • Barneveld, WI
National Provider Identifier
1952940256
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
UPLAND HILLS HEALTH, INC
Doing business as
Upland Hills Health Clinic - Barneveld
Practice address
103 Quail Ridge Dr
Barneveld, WI 53507-9408
Phone
(608) 924-1088
Fax
(608) 924-1087
NPI assigned
Jan 3, 2020
Last updated
Jun 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Lisa Schnedler
Title
President/Ceo
Phone
(608) 930-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

103 Quail Ridge Dr
Barneveld, WI 53507-9408

Mailing address

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (608) 930-7198

Other names 1

  • Upland Hills Health Clinic - Barneveld Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081016000442 WI Part B Supplier - Clinic/Group Practice 3072415553 Receives reassigned benefits from 194 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mount Horeb, WI; Barneveld, WI; Spring Green, WI; Montfort, WI; Mineral Point, WI; Highland, WI; Dodgeville, WI; Darlington, WI
O20200131002057 WI Part A Provider - Rural Health Clinic 3072415553 Practice locations: Barneveld, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952940256. Details of each certification follow.

Rural health clinic certification: CCN 528620

Legal name
UPLAND HILLS HEALTH INC
Doing business as
UPLAND HILLS HEALTH CLINIC-BARNEVELD
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 26, 2021
Last certification
Mar 26, 2021
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Feb 1, 1974 in WI
Enrollment address
103 Quail Ridge Dr
Barneveld, WI 53507-9408
Related CCNs
521352

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Upland Hills Health Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

1883 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-8040

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jay Goninen Individual Corporate OfficerBoard Member Jan 1, 2026
Danielle Moyer Individual Corporate OfficerVP of Finance Jan 1, 2026
W-2 Managing EmployeeVP Fianance Jan 1, 2026
Sandra Fischer Individual Corporate OfficerBoard Member Jan 1, 2026
Jolynn Suko Individual Corporate OfficerBoard Member Jan 1, 2026
John G Thronson Individual Corporate Director Apr 24, 2013
Alan Holter Individual Corporate OfficerBoard Member Jan 1, 2026
Andrea Potterton Individual Corporate OfficerBoard Member Jan 1, 2026
James Meacham Individual Corporate OfficerBoard Member Jan 1, 2026
James M Massey Individual Corporate Director Jun 1, 2011
Allison Stroud Individual Corporate OfficerBoard Member Jan 1, 2026
Christopher L Kinonen Individual Corporate OfficerBoard Member Jan 1, 2026

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1952940256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COMPASSION WAY",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331956",
            "telephone_number": "608-930-7198",
            "fax_number": "608-930-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 QUAIL RIDGE DR",
            "city": "BARNEVELD",
            "state": "WI",
            "postal_code": "535079408",
            "telephone_number": "608-924-1088",
            "fax_number": "608-924-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLAND HILLS HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "SCHNEDLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "608-930-7200"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upland Hills Health Clinic - Barneveld",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Upland Hills Health Clinic - Barneveld",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barneveld, WI

Sources for this page

Verify at the official NPI Registry.