WILDWOOD FAMILY CLINIC, SC
NPI 1225115124
Family Medicine in Cottage Grove, WI
About Wildwood Family Clinic, Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILDWOOD FAMILY CLINIC, SC (NPI 1225115124) is a healthcare organization registered as a family medicine in Cottage Grove, Wisconsin and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Sheryl Green, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Wildwood Family Clinic, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Wildwood Family Clinic, Sc, which bills Medicare for the services they deliver. Of these, 24 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 28Source: 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 2
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 Compliance 52D0393727
Wildwood Family Clinic · Madison, WICertificate of Compliance 52D0911694
Wildwood Family Clinic Sc · Cottage Grove, 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 Wildwood Family Clinic, Sc's NPI number?
The NPI number for Wildwood Family Clinic, Sc is 1225115124. It was assigned to this organization in the NPPES registry on November 1, 2006.
Where is Wildwood Family Clinic, Sc located?
Wildwood Family Clinic, Sc is located at 535 Southing Grange, Cottage Grove, WI 53527. The listed phone number is (608) 839-3515.
What is Wildwood Family Clinic, Sc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Wildwood Family Clinic, Sc enrolled in Medicare?
Yes. Wildwood Family Clinic, Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wildwood Family Clinic, Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 5 Medicare specialties reassign their Medicare billing to Wildwood Family Clinic, 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 Family Practice (14), Physical Therapist in Private Practice (9) and Mental Health Counselor (3). Of these, 24 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wildwood Family Clinic, Sc hold CLIA laboratory certificates?
Yes. 2 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 Wildwood Family Clinic, Sc accept?
Health plans from Dean Health Plan and Quartz list Wildwood Family Clinic, Sc 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 Wildwood Family Clinic, Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Wildwood Family Clinic, Sc · NPI 1225115124
Family Medicine organization in Cottage Grove, Wisconsin. Organization record, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1225115124 (Entity type: Organization)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Sheryl Green, ADMINISTRATOR
## Practice location
- **Address:** 535 SOUTHING GRANGE, Cottage Grove, WI 53527-9338
- **Phone:** (608) 839-3515 · **Fax:** (608) 839-3541
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (14), Physical Therapist in Private Practice (9), Mental Health Counselor (3); 24 practice within 10 miles; [full list](https://npiprofile.com/npi/1225115124/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 32721000 (WI)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225115124) · Data from the CMS NPPES public registry.