PREMIER CLINICS OF WISCONSIN, S.C.
NPI 1184955981
Nurse Anesthetist, Certified Registered in Stevens Point, WI

Q: What is Premier Clinics Of Wisconsin, S.C.'s NPI number?

The NPI number for Premier Clinics Of Wisconsin, S.C. is 1184955981. It was assigned to this organization in the NPPES registry on January 19, 2010.

Q: What is Premier Clinics Of Wisconsin, S.C.'s specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since January 19, 2010

200 DIVISION ST STE J, STEVENS POINT, WI 54481(715) 544-1774(715) 544-1772 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 20, 2025, Oct 7, 2024, Apr 12, 2022 (3 updates tracked since 2022).

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About Premier Clinics Of Wisconsin, S.c. NPPES

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

PREMIER CLINICS OF WISCONSIN, S.C. (NPI 1184955981) is a healthcare organization registered as a nurse anesthetist, certified registered in Stevens Point, Wisconsin and active in the NPI registry since January 2010. The organization lists Scott Rotar, President, as its authorized official.

NPPES Registry Identity

NPI1184955981

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NamePREMIER CLINICS OF WISCONSIN, S.C.

Location Address200 DIVISION ST STE JStevens Point, WI 54481-1843

Mailing Address520 Vincent StStevens Point, WI 54481-1848 · (715) 544-1774 · Fax (715) 544-1772

Phone(715) 544-1774

Fax(715) 544-1772

Organization SubpartNo

Authorized OfficialScott RotarPresident · (715) 892-4835

Enumeration DateJanuary 19, 2010

Last NPPES UpdateFebruary 20, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2025

✔ NPI 1184955981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X

Also ListedSurgeryTaxonomy 208600000X

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

200 DIVISION ST STE J, Stevens Point, WI 54481

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Premier Clinics Of Wisconsin, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Premier Clinics Of Wisconsin, S.C., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

William Bodemer, M.D.

Orthopedic Surgery

NPI 1497705370

5320 W MICHAELS DR
Appleton, WI 54913

(920) 882-8200

✔ PECOS✔ Accepts Medicare57 mi

Todd Fairchild, MD

Orthopedic Surgery

NPI 1568672525

5320 W MICHAELS DR
Appleton, WI 54913

(920) 882-8200

✔ PECOS✔ Accepts Medicare57 mi

Scott Rotar, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1376586099

240 MAPLE ST
Woodruff, WI 54568

(715) 892-4835

✔ PECOS✔ Accepts Medicare94 mi

Reed Davis, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1720259112

112 JEFFERSON ST
West Union, IA 52175

(563) 422-3811

✔ PECOS✔ Accepts Medicare155 mi

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 Premier Clinics Of Wisconsin, S.C.'s NPI number?

The NPI number for Premier Clinics Of Wisconsin, S.C. is 1184955981. It was assigned to this organization in the NPPES registry on January 19, 2010.

Where is Premier Clinics Of Wisconsin, S.C. located?

Premier Clinics Of Wisconsin, S.C. is located at 200 Division St Ste J, Stevens Point, WI 54481. The listed phone number is (715) 544-1774.

What is Premier Clinics Of Wisconsin, S.C.'s specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Premier Clinics Of Wisconsin, S.C. enrolled in Medicare?

Yes. Premier Clinics Of Wisconsin, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Clinics Of Wisconsin, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Premier Clinics Of Wisconsin, S.C., in Certified Registered Nurse Anesthetist (CRNA) and Orthopedic Surgery. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Clinics Of Wisconsin, S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Security Health Plan list Premier Clinics Of Wisconsin, S.C. 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 Premier Clinics Of Wisconsin, S.C. was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.