Sequoia Integrative Medical Services LLC - Medicare Mental Health Clinic in Kaukauna, WI

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Sequoia Integrative Medical Services LLC is a medicare enrolled mental health clinic (Family Medicine - Geriatric Medicine) in Kaukauna, Wisconsin. The current practice location for Sequoia Integrative Medical Services LLC is 1746 Paul Dr, Kaukauna, Wisconsin. For appointments, you can reach them via phone at (920) 422-7402. The mailing address for Sequoia Integrative Medical Services LLC is Po Box 411, Riverside, Illinois and phone number is (920) 422-7402.

Sequoia Integrative Medical Services LLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1790312171. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (920) 422-7402.

Contact Information

Sequoia Integrative Medical Services LLC
1746 Paul Dr
Kaukauna
WI 54130-3014
(920) 422-7402
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameSequoia Integrative Medical Services LLC
SpecialityFamily Medicine
Location1746 Paul Dr, Kaukauna, Wisconsin
Authorized Official Name and PositionMary K Friess (PRESIDENT)
Authorized Official Contact9204227402
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sequoia Integrative Medical Services LLC
Po Box 411
Riverside
IL 60546-6411

Ph: (920) 422-7402		Sequoia Integrative Medical Services LLC
1746 Paul Dr
Kaukauna
WI 54130-3014

Ph: (920) 422-7402

NPI Details:

NPI Number1790312171
Provider Enumeration Date03/25/2020
Last Update Date04/17/2026
Certification Date04/17/2026

Medicare PECOS Information:

Medicare PECOS PAC ID8527480250
Medicare Enrollment IDO20200625000133

Medical Identifiers

Medical identifiers for Sequoia Integrative Medical Services LLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790312171NPI-NPPES
36015700MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
104100000XSocial Worker ()Secondary
207Q00000XFamily Medicine ()Secondary
207QG0300XFamily Medicine - Geriatric Medicine ()Primary
225X00000XOccupational Therapist ()Secondary
261QP2000XClinic/center - Physical Therapy ()Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sequoia Integrative Medical Services LLC acts as a billing entity for following providers:
Provider NameMary K Friess
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750479820
PECOS PAC ID: 5294732178
Enrollment ID: I20061107000429
Provider NameEmmy L Sippel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124332762
PECOS PAC ID: 5597650903
Enrollment ID: I20101019000280
Provider NameLeanna Munoz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972883973
PECOS PAC ID: 7416129812
Enrollment ID: I20111006000797
Provider NameNicole M Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891047460
PECOS PAC ID: 4880847144
Enrollment ID: I20130117000156
Provider NameChristie S Henke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871835330
PECOS PAC ID: 3577700475
Enrollment ID: I20130514000201
Provider NameDeborah a Bartmann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619318714
PECOS PAC ID: 8921242348
Enrollment ID: I20130924000850
Provider NameKayla R Guns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063821502
PECOS PAC ID: 3375763980
Enrollment ID: I20141002001688
Provider NameNicole Li
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689943250
PECOS PAC ID: 1052694288
Enrollment ID: I20170213001622
Provider NameKatie Gesch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063839447
PECOS PAC ID: 5294045225
Enrollment ID: I20171006000891
Provider NameDonna Jo Hawley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770050585
PECOS PAC ID: 9032463302
Enrollment ID: I20181127000074
Provider NameHolly Kay Barrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689229437
PECOS PAC ID: 7517299977
Enrollment ID: I20191105000130
Provider NameSarah E Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912577040
PECOS PAC ID: 4284038878
Enrollment ID: I20210804000567
Provider NameHaley Hannah Decero
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609478908
PECOS PAC ID: 7517359144
Enrollment ID: I20220111002763
Provider NameRobbi M Tracy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700403821
PECOS PAC ID: 9537165279
Enrollment ID: I20221229000338
Provider NameTeal Louise Calaway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144979519
PECOS PAC ID: 5890153894
Enrollment ID: I20230623001318
Provider NameAllison M Brusewitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891407540
PECOS PAC ID: 6608235080
Enrollment ID: I20230703000885
Provider NameHillary D Busch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437830627
PECOS PAC ID: 8628423761
Enrollment ID: I20231010003551
Provider NameNatalie Anne Banda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578269312
PECOS PAC ID: 2365894276
Enrollment ID: I20240116004020
Provider NameThomas T Renk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023713039
PECOS PAC ID: 0547601684
Enrollment ID: I20240507003689
Provider NameKayla Himebauch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154014587
PECOS PAC ID: 8527400423
Enrollment ID: I20240523001666
Provider NameKatie Hagerstrom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972994093
PECOS PAC ID: 5698295525
Enrollment ID: I20250224000369

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.