GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
NPI 1245260165
Health Maintenance Organization in Madison, WI

Active since July 04, 2006
1265 JOHN Q HAMMONS DR, MADISON, WI 53717(608) 251-4156(608) 662-4984 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Group Health Cooperative Of South Central Wisconsin NPPES

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

GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN (NPI 1245260165) is a healthcare organization registered as a health maintenance organization in Madison, Wisconsin and active in the NPI registry since July 2006. The organization lists Bruce Quade, Cfo, as its authorized official.

NPPES Registry Identity

NPI1245260165
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameGROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
Location Address1265 JOHN Q HAMMONS DRMadison, WI 53717-1921
Mailing Address1265 John Q Hammons DrMadison, WI 53717-1921 · (608) 251-4156 · Fax (608) 662-4984
Fax(608) 662-4984
Organization SubpartNo
Authorized OfficialBruce QuadeCfo · (608) 251-4156
Enumeration DateJuly 4, 2006
Last NPPES UpdateApril 11, 2024
NPPES CertifiedApril 11, 2024
✔ NPI 1245260165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
License✔ Licensed in WI · 00053899
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
1265 JOHN Q HAMMONS DR, Madison, WI 53717

Other Identifiers 1

Medicaid69000100WI

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)

Group Health Cooperative Of South Central Wisconsin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

421

Medicare enrollment records show 421 clinicians reassign Medicare billing to Group Health Cooperative Of South Central Wisconsin, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 281 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Diagnostic Radiology204
Family Practice58
Nurse Practitioner38
Physical Therapist in Private Practice20
Clinical Social Worker19
Optometry13
Clinical Psychologist8
Mental Health Counselor8
14 other specialties53

Nearest to this location (20)

See all 421
Optometry
NPI 1205027521
1200 JOHN Q HAMMONS DR STE 100
Madison, WI 53717
(608) 827-7705
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1518022748
1265 JOHN Q HAMMONS DRIVE
Madison, WI 53717
(608) 251-4156
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1649435421
1265 JOHN Q HAMMONS DR
Madison, WI 53717
(608) 662-5060
✔ Accepts MedicareSame address
Optometry
NPI 1114214780
1265 JOHN Q HAMMONS DR
Madison, WI 53717
(608) 251-4156
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1366467466
752 N HIGH POINT RD
Madison, WI 53717
(608) 824-4000
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1952592081
752 N HIGH POINT RD DEAN MEDICAL CENTER
Madison, WI 53717
(608) 824-4000
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1528513108
752 N HIGH POINT RD
Madison, WI 53717
(608) 824-4000
✔ PECOS✔ Accepts Medicare0.2 mi
Mental Health Counselor
NPI 1083902803
8025 EXCELSIOR DR
Madison, WI 53717
(608) 663-4367
✔ PECOS✔ Accepts Medicare0.4 mi
Marriage and Family Therapist
NPI 1295178473
8025 EXCELSIOR DR
Madison, WI 53717
(608) 663-6154
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1093698029
8202 EXCELSIOR DR
Madison, WI 53717
(608) 251-4156
✔ PECOS✔ Accepts Medicare0.5 mi
Clinical Social Worker
NPI 1376762682
8202 EXCELSIOR DR
Madison, WI 53717
(608) 251-4156
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1801748967
8202 EXCELSIOR DR
Madison, WI 53717
(608) 251-4156
✔ PECOS0.5 mi
Family Practice
NPI 1871885434
8202 EXCELSIOR DR
Madison, WI 53717
(608) 257-9700
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1992986897
8202 EXCELSIOR DR
Madison, WI 53717
(608) 831-1766
✔ PECOS✔ Accepts Medicare0.5 mi
Clinical Social Worker
NPI 1568211373
8202 EXCELSIOR DR
Madison, WI 53717
(608) 257-9700
✔ PECOS0.5 mi
Family Practice
NPI 1134244585
8202 EXCELSIOR DR
Madison, WI 53717
(608) 831-1766
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1639134216
8202 EXCELSIOR DR
Madison, WI 53717
(608) 831-1766
✔ PECOS✔ Accepts Medicare0.5 mi
Pediatric Medicine
NPI 1639512627
8202 EXCELSIOR DR
Madison, WI 53717
(608) 831-1766
✔ PECOS0.5 mi
Clinical Social Worker
NPI 1720756422
8202 EXCELSIOR DR
Madison, WI 53717
(608) 441-3290
✔ PECOS0.5 mi
Chiropractic
NPI 1477646297
8202 EXCELSIOR DR
Madison, WI 53717
(608) 831-1766
✔ Accepts Medicare0.5 mi
See all 421 clinicians

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 Group Health Cooperative Of South Central Wisconsin's NPI number?

The NPI number for Group Health Cooperative Of South Central Wisconsin is 1245260165. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Group Health Cooperative Of South Central Wisconsin located?

Group Health Cooperative Of South Central Wisconsin is located at 1265 John Q Hammons Dr, Madison, WI 53717. The listed phone number is (608) 251-4156.

What is Group Health Cooperative Of South Central Wisconsin's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

Is Group Health Cooperative Of South Central Wisconsin enrolled in Medicare?

Yes. Group Health Cooperative Of South Central Wisconsin is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Group Health Cooperative Of South Central Wisconsin?

According to the CMS Revalidation Reassignment List (October 2026 release), 421 clinicians in 22 Medicare specialties reassign their Medicare billing to Group Health Cooperative Of South Central 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 Diagnostic Radiology (204), Family Practice (58) and Nurse Practitioner (38). Of these, 4 practice at this address and 281 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Group Health Cooperative Of South Central Wisconsin accept?

Health plans from MercyCare Health Plans list Group Health Cooperative Of South Central Wisconsin 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 Group Health Cooperative Of South Central Wisconsin was last updated on April 11, 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.