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SPINE SOLUTIONS OF WEST BEND LLC
NPI 1073113841
Clinic/Center - Ambulatory Surgical in West Bend, WI

Active since October 29, 2020CLIA Certified · 2 labs
1000 GATEWAY CT STE 200, WEST BEND, WI 53095(414) 455-1153 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spine Solutions Of West Bend Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINE SOLUTIONS OF WEST BEND LLC (NPI 1073113841) is a healthcare organization registered as an ambulatory surgical in West Bend, Wisconsin and active in the NPI registry since October 2020. The organization holds 2 active CLIA laboratory certificates and lists Jeremy Scarlett, Owner, as its authorized official.

NPPES Registry Identity

NPI1073113841
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSPINE SOLUTIONS OF WEST BEND LLC
Location Address1000 GATEWAY CT STE 200West Bend, WI 53095-8541
Mailing Address2124 Kohler Memorial DrSheboygan, WI 53081-3169 · (414) 455-1153
Phone(414) 455-1153
Organization SubpartNo
Authorized OfficialJeremy ScarlettOwner · (414) 455-1153
Enumeration DateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
✔ NPI 1073113841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1000 GATEWAY CT STE 200, West Bend, WI 53095
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2220443

Spine Solutions Of West Bend LLC · West Bend, WI
Active · expires Apr 12, 2027
CLIA Number52D2220443
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorDr. Michael Jung
Laboratory Phone(920) 838-6426
Laboratory LocationSpine Solutions Of West Bend LLC1000 Gateway Ct, Ste 200, West Bend, WI 53095
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2220446

Spine Solutions Of Sheboygan LLC · Sheboygan, WI
Active · expires Apr 12, 2027
CLIA Number52D2220446
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorDr. Atit S. Shah
Laboratory Phone(920) 838-6426
Laboratory LocationSpine Solutions Of Sheboygan LLC2124 Kohler Memorial Dr, Ste 100, Sheboygan, WI 53081
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
173 services57 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
59 services21 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
52 services31 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
50 services31 patients
Injection of anesthetic agent and/or steroid into other nerve or branch 64450
This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.
41 services16 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
32 services27 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPINE SOLUTIONS OF WEST BEND LLC
Durable Medical Equipment & Medical Supplies
1000 GATEWAY CT STE 200
WEST BEND, WI 53095
Washington County (920) 204-6758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spine Solutions Of West Bend LLC's NPI number?

The NPI number for Spine Solutions Of West Bend LLC is 1073113841. It was assigned to this organization in the NPPES registry on October 29, 2020.

Where is Spine Solutions Of West Bend LLC located?

Spine Solutions Of West Bend LLC is located at 1000 Gateway Ct Ste 200, West Bend, WI 53095. The listed phone number is (414) 455-1153.

What is Spine Solutions Of West Bend LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Spine Solutions Of West Bend LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Spine Solutions Of West Bend LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health, Security Health Plan and UnitedHealthcare list Spine Solutions Of West Bend LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spine Solutions Of West Bend LLC was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.