| Pivotal Health, Inc. | |
|
3030 Laura Ln Ste 130 Middleton WI 53562-1872 | |
| (888) 688-4746 | |
| Not Available |
| Full Name | Pivotal Health, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3030 Laura Ln Ste 130, Middleton, Wisconsin |
| Authorized Official Name and Position | Salvatore Pier Braico (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6082138246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Health, Inc. 3030 Laura Ln Ste 130 Middleton WI 53562-1872 Ph: (608) 213-8246 | Pivotal Health, Inc. 3030 Laura Ln Ste 130 Middleton WI 53562-1872 Ph: (888) 688-4746 |
| NPI Number | 1508465220 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 11/15/2021 |
| Medicare PECOS PAC ID | 5496159782 |
|---|---|
| Medicare Enrollment ID | O20210809002587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508465220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John A Culp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497792139 PECOS PAC ID: 9931108081 Enrollment ID: I20061219000068 |
| Provider Name | Jessica A Dekan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699044156 PECOS PAC ID: 5698938140 Enrollment ID: I20120518000548 |
| Provider Name | Lori B Thiry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588913859 PECOS PAC ID: 1759532278 Enrollment ID: I20121109000509 |
| Provider Name | Sarah J Staff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881944858 PECOS PAC ID: 0345492724 Enrollment ID: I20121228000191 |
| Provider Name | John T Siebers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376948638 PECOS PAC ID: 9638391006 Enrollment ID: I20141119002227 |
| Provider Name | Kimberly K. Curran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154877165 PECOS PAC ID: 0244518124 Enrollment ID: I20161027001118 |
| Provider Name | Mary Scherer Virnig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932486370 PECOS PAC ID: 9537326087 Enrollment ID: I20180312001776 |
| Provider Name | Aaron Hoekstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609423193 PECOS PAC ID: 2961731658 Enrollment ID: I20190905001162 |
| Provider Name | Michelle K Scharine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376164194 PECOS PAC ID: 2668895152 Enrollment ID: I20200630002182 |
| Provider Name | Tia Marie Vaccaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093341380 PECOS PAC ID: 8224434543 Enrollment ID: I20210910001661 |
| Provider Name | Debra Check Janisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740950260 PECOS PAC ID: 3375932585 Enrollment ID: I20211109002834 |
| Provider Name | Erica S Linn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518416106 PECOS PAC ID: 6507118692 Enrollment ID: I20211202001728 |
| Provider Name | Maggie J Grommon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831866367 PECOS PAC ID: 2567852668 Enrollment ID: I20211203001785 |
| Provider Name | Abigail O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336803378 PECOS PAC ID: 6800287319 Enrollment ID: I20211216002177 |
| Provider Name | Iryna O Janko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215520762 PECOS PAC ID: 5193118339 Enrollment ID: I20220210000873 |
| Provider Name | Patricia M Oie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366994378 PECOS PAC ID: 1759662729 Enrollment ID: I20220721003199 |
| Provider Name | Samantha Kubly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164154399 PECOS PAC ID: 7517341894 Enrollment ID: I20220906001907 |
| Provider Name | Alysia Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770920779 PECOS PAC ID: 3870734833 Enrollment ID: I20230913001522 |
| Provider Name | Jennifer Janes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275183352 PECOS PAC ID: 2668800343 Enrollment ID: I20231012003577 |
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