THEDACARE, INCORPORATED
NPI 1194812784
Durable Medical Equipment & Medical Supplies in Oshkosh, WI

Active since October 06, 2006CLIA Certified · 15 labs
1561 W SOUTH PARK AVE, OSHKOSH, WI 54902(920) 969-0919(920) 969-0020 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2025, Jan 2, 2024, Feb 13, 2023 and 1 more (4 updates tracked since 2016).

About Thedacare, Incorporated NPPES

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

THEDACARE, INCORPORATED (NPI 1194812784) is a healthcare organization registered as a durable medical equipment & medical supplies in Oshkosh, Wisconsin and active in the NPI registry since October 2006. The organization holds 15 active CLIA laboratory certificates, maintains a secondary practice location in Oshkosh, and lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1194812784
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameTHEDACARE, INCORPORATED
Location Address1561 W SOUTH PARK AVEOshkosh, WI 54902-6188
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 969-0919 · Fax (920) 730-3433
Fax(920) 969-0020
Organization SubpartNo
Authorized OfficialWilliam FlettCfo · (920) 454-4013
Enumeration DateOctober 6, 2006
Last NPPES UpdateMarch 27, 20254 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1194812784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in WI · 004-0000148276-01
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1561 W SOUTH PARK AVE, Oshkosh, WI 54902

Secondary Practice Location 1

Location 12100 Omro Rd, Unit EOshkosh, WI 54904 · Phone (920) 969-0919 · Fax (920) 730-3433

Other Identifiers 1

Medicaid41700000WI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 16

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 52D0721820

Thedacare At Home · Appleton, WI
Active · expires Aug 31, 2026
CLIA Number52D0721820
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMr. Michael Huntley
Laboratory Phone(920) 969-0919
Laboratory LocationThedacare At Home3000 E College Ave Suite A, Appleton, WI 54915
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2020175

Thedacare Physicians Pediatrics Neenah · Neenah, WI
Active · expires Apr 14, 2028
CLIA Number52D2020175
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorDr. Andre Krainik
Laboratory Phone(920) 727-9982
Laboratory LocationThedacare Physicians Pediatrics Neenah640 Deerwood Ave, Neenah, WI 54956
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2302058

Thedacare Outpatient Surgery - Oshkosh · Oshkosh, WI
Active · expires Apr 3, 2028
CLIA Number52D2302058
Laboratory TypeHospital Outpatient Dept
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorDr. David Janssen
Laboratory Phone(920) 651-6900
Laboratory LocationThedacare Outpatient Surgery - Oshkosh2400 Witzel Ave Suite C, Oshkosh, WI 54904
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 52D0397838

Thedacare Physicians Neenah · Neenah, WI
Active · expires Mar 10, 2028
CLIA Number52D0397838
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorDr. Rebecca J. Buell
Laboratory Phone(920) 454-7020
Laboratory LocationThedacare Physicians Neenah333 N Green Bay Road, Neenah, WI 54956
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 52D2338732

Thedacare Endocrinology Oshkosh · Oshkosh, WI
Active · expires Feb 16, 2028
CLIA Number52D2338732
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorDr. Christina Nagle
Laboratory Phone(920) 358-1223
Laboratory LocationThedacare Endocrinology Oshkosh250 W 6th Avenue, Oshkosh, WI 54902
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2152905

Thedacare Physicians - Urology, Inc · Neenah, WI
Active · expires Feb 1, 2028
CLIA Number52D2152905
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorDr. Kyle S. Retzki
Laboratory Phone(920) 886-7138
Laboratory LocationThedacare Physicians - Urology, Inc1265 W American Dr, Ste 100, Neenah, WI 54956
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 27

Medicare supplier enrollment and the product categories Thedacare At Home carries, from the Medicare DMEPOS supplier directory.

Thedacare At Home

DMEPOS supplier · Oshkosh, WIOperated by Thedacare, Incorporated

Accepts Medicare assignment

Thedacare At Home agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20634929
Medicare Participant SinceJanuary 1, 1999
Supplier Location2100 Omro Rd Ste COshkosh, WI 54904
Provider TypeOxygen & Equipment
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Continuous Passive Motion (CPM) Devices
Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Support Surfaces: Pressure Reducing Beds/Mats/Pads
Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
Ultraviolet Light Devices and/or Supplies
Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Thedacare, Incorporated's NPI number?

The NPI number for Thedacare, Incorporated is 1194812784. It was assigned to this organization in the NPPES registry on October 6, 2006.

Where is Thedacare, Incorporated located?

Thedacare, Incorporated is located at 1561 W South Park Ave, Oshkosh, WI 54902. The listed phone number is (920) 969-0919.

What is Thedacare, Incorporated's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Thedacare, Incorporated accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Thedacare At Home accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Thedacare, Incorporated hold CLIA laboratory certificates?

Yes. 15 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.

What insurance does Thedacare, Incorporated accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz list Thedacare, Incorporated 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 Thedacare, Incorporated was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.