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GUNDERSEN CLINIC LTD
NPI 1225503428
Pharmacy - Community/Retail Pharmacy in Holmen, WI

Active since October 04, 2018
500 N HOLMEN DR STE 506, HOLMEN, WI 54636(608) 775-8875 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 4, 2025, Apr 18, 2024, Sep 7, 2023 and 3 more (6 updates tracked since 2018).

About Gundersen Clinic Ltd NPPES

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

GUNDERSEN CLINIC LTD (NPI 1225503428), doing business as Gundersen Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Holmen, Wisconsin and active in the NPI registry since October 2018. The organization lists Tina Lechnir, Vp Cross-functional Care, as its authorized official.

NPPES Registry Identity

NPI1225503428
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGUNDERSEN CLINIC LTD
Location Address500 N HOLMEN DR STE 506Holmen, WI 54636-7301
Mailing Address500 N Holmen Dr Ste 506Holmen, WI 54636-7301 · (608) 775-8875
Phone(608) 775-8875
Organization SubpartYes
Authorized OfficialTina LechnirVp Cross-functional Care · (608) 775-2600
Enumeration DateOctober 4, 2018
Last NPPES UpdateJuly 4, 20256 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1225503428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
500 N HOLMEN DR STE 506, Holmen, WI 54636
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Other Names 2

Doing Business AsGundersen Pharmacy
Other NameGundersen Pharmacy - Holmen Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gundersen Clinic Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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 IDO20190207001755DME · PharmacyDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
40 services40 patients

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 Gundersen Clinic Ltd's NPI number?

The NPI number for Gundersen Clinic Ltd is 1225503428. It was assigned to this organization in the NPPES registry on October 4, 2018. The provider is doing business as Gundersen Pharmacy. The provider is also known as Gundersen Pharmacy - Holmen Clinic.

Where is Gundersen Clinic Ltd located?

Gundersen Clinic Ltd is located at 500 N Holmen Dr Ste 506, Holmen, WI 54636. The listed phone number is (608) 775-8875.

What is Gundersen Clinic Ltd's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Gundersen Clinic Ltd enrolled in Medicare?

Yes. Gundersen Clinic Ltd is registered in the Medicare PECOS enrollment system.

When is Gundersen Clinic Ltd's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Wisconsin, Pharmacy) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Gundersen Clinic Ltd accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 47 other insurers list Gundersen Clinic Ltd 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 Gundersen Clinic Ltd was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.