NPIMap

Organization Active NPI

Upland Hills Health, Inc.

Doing business as Upland Hills Health Clinic - Highland

  • Rural Health Clinic/Center
  • Highland, WI
National Provider Identifier
1972851418
Registry record updated Mar 13, 2020
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 - Highland
Practice address
551 Main St
Highland, WI 53543-9779
Phone
(608) 929-4518
Fax
(608) 929-7697
NPI assigned
Aug 15, 2012
Last updated
Mar 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Lisa A. Schnedler
Title
Administrator/Ceo
Phone
(608) 930-7200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU
Obstetrics & Gynecology Physician 207V00000X NU

Addresses

Primary practice location

551 Main St
Highland, WI 53543-9779

Mailing address

551 Main St
PO Box 266
Highland, WI 53543-9779
Phone (608) 929-4518

Other identifiers 1

IdentifierTypeStateIssuer
WI1085OtherWIMEDICARE PTAN

Other names 1

  • Upland Hills Health Clinic - Highland 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
O20120918000161 WI Part A Provider - Rural Health Clinic 3072415553 Practice locations: Highland, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972851418. Details of each certification follow.

Rural health clinic certification: CCN 528557

Legal name
UPLAND HILLS HEALTH INC
Doing business as
UPLAND HILLS HEALTH CLINIC - HIGHLAND
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 10, 2013
Last certification
Mar 5, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
723 Main St
Highland, WI 53543-9790
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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0392787Upland Hills Health Clinic-Highland723 Main St, Highland, WI 53543Certificate of waiverJul 1, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Bradley D Laufenberg Individual Corporate OfficerVice President, Board of Directo Jun 1, 2010
Sandra Fischer Individual Corporate DirectorBoard Member Feb 1, 2021
Alan Holter Individual Corporate DirectorBoard Member Jan 24, 2024
Andrea Potterton Individual Corporate DirectorBoard Member Jan 24, 2024
Kyle Nondorf Individual Corporate DirectorBoard Member Aug 17, 2023
Arthur K Pustina Individual Corporate DirectorCfo/Assitant Administrator Finan May 6, 1985
W-2 Managing EmployeeCfo/Assitant Administrator Finan May 6, 1985
Theodore Jon Greenheck Individual Corporate OfficerTreasurer, Board of Directors Jun 1, 2010
James M Massey Individual Corporate DirectorMember, Board of Directors Jun 1, 2011
Allison Stroud Individual Corporate DirectorBoard Member Jun 26, 2024
Christopher L Kinonen Individual Corporate DirectorBoard Member Jan 25, 2023

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 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1972851418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 MAIN ST",
            "address_2": "PO BOX 266",
            "city": "HIGHLAND",
            "state": "WI",
            "postal_code": "535439779",
            "telephone_number": "608-929-4518",
            "fax_number": "608-929-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 MAIN ST",
            "city": "HIGHLAND",
            "state": "WI",
            "postal_code": "535439779",
            "telephone_number": "608-929-4518",
            "fax_number": "608-929-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLAND HILLS HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "SCHNEDLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "608-930-7200"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WI1085",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upland Hills Health Clinic - Highland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Upland Hills Health Clinic - Highland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, WI

Sources for this page

Verify at the official NPI Registry.