POLK COUNTY DEPT OF ADMINISTRATION
NPI 1083837298
Community/Behavioral Health in Balsam Lake, WI
About Polk County Dept Of Administration NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POLK COUNTY DEPT OF ADMINISTRATION (NPI 1083837298) is a healthcare organization registered as a community/behavioral health in Balsam Lake, Wisconsin and active in the NPI registry since April 2007. The organization lists Kathleen Gingras, Director Business & Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 8
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Polk County Dept Of Administration is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Polk County Dept Of Administration, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Polk County Dept Of Administration's NPI number?
The NPI number for Polk County Dept Of Administration is 1083837298. It was assigned to this organization in the NPPES registry on April 10, 2007.
Where is Polk County Dept Of Administration located?
Polk County Dept Of Administration is located at 100 Polk County Plz Ste 180, Balsam Lake, WI 54810. The listed phone number is (715) 485-8400.
What is Polk County Dept Of Administration's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Polk County Dept Of Administration enrolled in Medicare?
Yes. Polk County Dept Of Administration is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Polk County Dept Of Administration?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Polk County Dept Of Administration, in Clinical Social Worker, Mental Health Counselor and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Polk County Dept Of Administration accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Polk County Dept Of Administration 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 Polk County Dept Of Administration was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Polk County Dept Of Administration · NPI 1083837298
Community/Behavioral Health organization in Balsam Lake, Wisconsin. Organization record, active in the CMS NPPES registry since April 10, 2007.
## Identity
- **NPI:** 1083837298 (Entity type: Organization)
- **Enumerated:** April 10, 2007
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Kathleen Gingras, DIRECTOR BUSINESS & OPERATIONS
## Practice location
- **Address:** 100 POLK COUNTY PLZ STE 180, Balsam Lake, WI 54810-8009
- **Phone:** (715) 485-8400 · **Fax:** (715) 485-8490
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (2), Clinical Social Worker (1), Mental Health Counselor (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2022
- **Other identifiers:** Other 37F35PO (WI); Medicaid 42218400 (WI); Other 84 81085 (WI); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1083837298) · Data from the CMS NPPES public registry.