MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.
NPI 1174116669
Clinic/Center - Rural Health in Mondovi, WI

Q: What is Mayo Clinic Health System-Northwest Wisconsin Region, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since February 16, 2021

700 BUFFALO ST, MONDOVI, WI 54755(715) 926-4858 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, Apr 15, 2026, Feb 16, 2021 (3 updates tracked since 2021).

On this page

About Mayo Clinic Health System-northwest Wisconsin Region, Inc. NPPES

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

MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. (NPI 1174116669), doing business as Mayo Clinic Health System - Oakridge In Mondovi, is a healthcare organization registered as a rural health in Mondovi, Wisconsin and active in the NPI registry since February 2021. The organization lists Adam Smith, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174116669

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameMAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.

Location Address700 BUFFALO STMondovi, WI 54755-1371

Mailing AddressPo Box 860081Minneapolis, MN 55486-0081

Phone(715) 926-4858

Organization SubpartNo

Authorized OfficialAdam SmithCfo · (715) 838-5275

Enumeration DateFebruary 16, 2021

Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1174116669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

700 BUFFALO ST, Mondovi, WI 54755

Open in Google Maps ↗

Other Names 2

Doing Business AsMayo Clinic Health System - Oakridge In Mondovi

Doing Business AsMayo Clinic Health System-mondovi Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayo Clinic Health System-northwest Wisconsin Region, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateWisconsinEnrollment IDO20210304002018Part A · Rural Health ClinicDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 9

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

HIEU ARNHOLT OTR

Occupational Therapist