STATE OF WISCONSIN
NPI 1235225616
Intermediate Care Facility, Intellectual Disabilities in Chippewa Falls, WI
About State Of Wisconsin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE OF WISCONSIN (NPI 1235225616), doing business as Northern Wisconsin Center Excel, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Chippewa Falls, Wisconsin and active in the NPI registry since October 2006. The organization lists Craig Koehler, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
State Of Wisconsin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to State Of Wisconsin, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (19)
Madison, WI 53704
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 State Of Wisconsin's NPI number?
The NPI number for State Of Wisconsin is 1235225616. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Northern Wisconsin Center Excel.
Where is State Of Wisconsin located?
State Of Wisconsin is located at 2820 East Park Avenue, Chippewa Falls, WI 54729. The listed phone number is (715) 723-7957.
What is State Of Wisconsin's specialty?
The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
Is State Of Wisconsin enrolled in Medicare?
Yes. State Of Wisconsin is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through State Of Wisconsin?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 5 Medicare specialties reassign their Medicare billing to State Of Wisconsin. 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 Psychiatry (9), Family Practice (4) and Physical Medicine and Rehabilitation (3). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for State Of Wisconsin was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# State Of Wisconsin · NPI 1235225616
Intermediate Care Facility, Intellectual Disabilities organization in Chippewa Falls, Wisconsin. Organization record, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1235225616 (Entity type: Organization)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Intermediate Care Facility, Intellectual Disabilities · taxonomy 315P00000X
- **Also known as:** Northern Wisconsin Center Excel (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Craig Koehler, DIRECTOR
## Practice location
- **Address:** 2820 EAST PARK AVENUE, Chippewa Falls, WI 54729-0340
- **Phone:** (715) 723-7957
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (9), Family Practice (4), Physical Medicine and Rehabilitation (3); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2025
- **Other identifiers:** Medicaid 21050200 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1235225616) · Data from the CMS NPPES public registry.