ARCHWELL HEALTH PROFESSIONAL SERVICES OF WISCONSIN, SC
NPI 1164228797
Internal Medicine in Milwaukee, WI
About Archwell Health Professional Services Of Wisconsin, Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARCHWELL HEALTH PROFESSIONAL SERVICES OF WISCONSIN, SC (NPI 1164228797), doing business as Archwell Health, is a healthcare organization registered as an internal medicine in Milwaukee, Wisconsin and active in the NPI registry since February 2025. The organization holds 3 active CLIA laboratory certificates and lists Amy Moddesette, Sr. Director, Managed Care Ops, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Archwell Health Professional Services Of Wisconsin, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Archwell Health Professional Services Of Wisconsin, Sc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (17)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
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 52D2338407
Archwell Health Professional Services Of Wisconsin Sc Archwell Health - Harambee · Milwaukee, WICertificate of Waiver 52D2338402
Archwell Health Professional Services Of Wisconsin Sc Archwell Health - Capitol Heights · Milwaukee, WICertificate of Waiver 52D2338409
Archwell Health Professional Services Of Wisconsin Sc Archwell Health - Mitchell West · Milwaukee, 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 Archwell Health Professional Services Of Wisconsin, Sc's NPI number?
The NPI number for Archwell Health Professional Services Of Wisconsin, Sc is 1164228797. It was assigned to this organization in the NPPES registry on February 24, 2025. The provider is doing business as ArchWell Health.
Where is Archwell Health Professional Services Of Wisconsin, Sc located?
Archwell Health Professional Services Of Wisconsin, Sc is located at 2730 N Martin Luther King Dr, Milwaukee, WI 53212. The listed phone number is (414) 508-0002.
What is Archwell Health Professional Services Of Wisconsin, Sc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Archwell Health Professional Services Of Wisconsin, Sc enrolled in Medicare?
Yes. Archwell Health Professional Services Of Wisconsin, Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Archwell Health Professional Services Of Wisconsin, Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Archwell Health Professional Services Of Wisconsin, Sc. 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. The largest specialties are Cardiovascular Disease (Cardiology) (7), Family Practice (4) and Nurse Practitioner (4). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Archwell Health Professional Services Of Wisconsin, Sc hold CLIA laboratory certificates?
Yes. 3 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.
When was this NPI record last updated?
The NPPES record for Archwell Health Professional Services Of Wisconsin, Sc was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Archwell Health Professional Services Of Wisconsin, Sc · NPI 1164228797
Internal Medicine organization in Milwaukee, Wisconsin. Organization record, active in the CMS NPPES registry since February 24, 2025.
## Identity
- **NPI:** 1164228797 (Entity type: Organization)
- **Enumerated:** February 24, 2025
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** ArchWell Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Amy Moddesette, SR. DIRECTOR, MANAGED CARE OPS
## Practice location
- **Address:** 2730 N MARTIN LUTHER KING DR, Milwaukee, WI 53212-2312
- **Phone:** (414) 508-0002
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (7), Family Practice (4), Nurse Practitioner (4); 3 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2026
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164228797) · Data from the CMS NPPES public registry.