MIND NEUROLOGY WISCONSIN SC
NPI 1073242194
Clinic/Center - Medical Specialty in Mequon, WI
About Mind Neurology Wisconsin Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIND NEUROLOGY WISCONSIN SC (NPI 1073242194) is a healthcare organization registered as a medical specialty in Mequon, Wisconsin and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through June 26, 2028, maintains a secondary practice location in Appleton, and lists Jacob Hart, Chief Operating Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
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 52D2263281
Mind + Neurology, LLC · Mequon, WIFrequently 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 Mind Neurology Wisconsin Sc's NPI number?
The NPI number for Mind Neurology Wisconsin Sc is 1073242194. It was assigned to this organization in the NPPES registry on June 6, 2022.
Where is Mind Neurology Wisconsin Sc located?
Mind Neurology Wisconsin Sc is located at 12200 Corporate Pkwy Ste 400, Mequon, WI 53092. The listed phone number is (414) 430-0069.
What is Mind Neurology Wisconsin Sc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Does Mind Neurology Wisconsin Sc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2263281) is associated with this NPI, valid through June 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mind Neurology Wisconsin Sc accept?
Health plans from CareSource (Common Ground Healthcare), Network Health and Security Health Plan list Mind Neurology Wisconsin Sc 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 Mind Neurology Wisconsin Sc was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Mind Neurology Wisconsin Sc · NPI 1073242194
Medical Specialty organization in Mequon, Wisconsin. Organization record, active in the CMS NPPES registry since June 6, 2022.
## Identity
- **NPI:** 1073242194 (Entity type: Organization)
- **Enumerated:** June 6, 2022
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Jacob Hart, CHIEF OPERATING OFFICER
## Practice location
- **Address:** 12200 CORPORATE PKWY STE 400, Mequon, WI 53092-3300
- **Phone:** (414) 430-0069
## Record status
- **NPPES last updated:** August 19, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073242194) · Data from the CMS NPPES public registry.