PARTNERSHIP COMMUNITY HEALTH CENTER, INC
NPI 1225074008
Clinic/Center - Federally Qualified Health Center (FQHC) in Appleton, WI

Active since June 21, 2006CLIA 52D0929779 · Waiver
5337 W GRANDE MARKET DR, APPLETON, WI 54913(920) 731-7445 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 24, 2020, Jul 23, 2019 (2 updates tracked since 2019).

About Partnership Community Health Center, Inc NPPES

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

PARTNERSHIP COMMUNITY HEALTH CENTER, INC (NPI 1225074008) is a healthcare organization registered as a federally qualified health center (fqhc) in Appleton, Wisconsin and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through October 14, 2028 and lists Kristene Stacker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225074008
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePARTNERSHIP COMMUNITY HEALTH CENTER, INC
Location Address5337 W GRANDE MARKET DRAppleton, WI 54913-8442
Mailing Address5337 W Grande Market DrAppleton, WI 54913-8442 · (920) 731-7445
Organization SubpartNo
Authorized OfficialKristene StackerCeo · (920) 731-7445
Enumeration DateJune 21, 2006
Last NPPES UpdateFebruary 22, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2024
✔ NPI 1225074008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
5337 W GRANDE MARKET DR, Appleton, WI 54913

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)

Partnership Community Health Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Partnership Community Health Center, Inc, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner4
Family Practice3
Clinical Social Worker2
Mental Health Counselor1
Pediatric Medicine1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1740913904
5471 W WATERFORD LN
Appleton, WI 54913
(920) 731-7445
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1407533672
5471 W WATERFORD LN
Appleton, WI 54913
(920) 731-7445
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1134895261
5471 W WATERFORD LN
Appleton, WI 54913
(920) 731-7445
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1588190607
5471 W WATERFORD LN
Appleton, WI 54913
(920) 731-7445
✔ PECOS0.1 mi
Family Practice
NPI 1285768572
5471 W WATERFORD LN
Appleton, WI 54913
(920) 731-7445
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1659195352
5471 W WATERFORD LN
Appleton, WI 54913
(920) 731-7445
✔ PECOS0.1 mi
Pediatric Medicine
NPI 1588857841
5471 W WATERFORD LN STE B
Appleton, WI 54913
(920) 731-7445
✔ PECOS0.1 mi
Family Practice
NPI 1558308577
5471 W WATERFORD LN
Appleton, WI 54913
(920) 731-7445
✔ PECOS0.1 mi
Clinical Social Worker
NPI 1891423869
1478 KENWOOD DR STE 101
Menasha, WI 54952
(920) 593-9157
✔ PECOS3.7 mi
Mental Health Counselor
NPI 1053064097
1205 PROVINCE TER
Menasha, WI 54952
(920) 886-9319
✔ PECOS5.1 mi
Family Practice
NPI 1962496760
16985 W BLUEMOUND RD
Brookfield, WI 53005
(262) 641-8400
✔ PECOS87 mi

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

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 52D0929779

Partnership Community Health Center · Appleton, WI
Active · expires Oct 14, 2028
CLIA Number52D0929779
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 15, 2026
Certificate Expiration DateOctober 14, 2028
Laboratory DirectorSara Cass
Laboratory Phone(920) 731-7445
Laboratory LocationPartnership Community Health Center5471 Waterford Lane, Appleton, WI 54913
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Partnership Community Health Center, Inc's NPI number?

The NPI number for Partnership Community Health Center, Inc is 1225074008. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is Partnership Community Health Center, Inc located?

Partnership Community Health Center, Inc is located at 5337 W Grande Market Dr, Appleton, WI 54913. The listed phone number is (920) 731-7445.

What is Partnership Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Partnership Community Health Center, Inc enrolled in Medicare?

Yes. Partnership Community Health Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Partnership Community Health Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Partnership Community Health Center, Inc. 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 Nurse Practitioner (4), Family Practice (3) and Clinical Social Worker (2). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Partnership Community Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0929779) is associated with this NPI, valid through October 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Partnership Community Health Center, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and UnitedHealthcare list Partnership Community Health Center, Inc 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 Partnership Community Health Center, Inc was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.