KENOSHA COMMUNITY HEALTH CENTER, INC.
NPI 1265435960
Clinic/Center - Federally Qualified Health Center (FQHC) in Kenosha, WI
About Kenosha Community Health Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENOSHA COMMUNITY HEALTH CENTER, INC. (NPI 1265435960) is a healthcare organization registered as a federally qualified health center (fqhc) in Kenosha, Wisconsin and active in the NPI registry since May 2005. The organization holds 2 active CLIA laboratory certificates and lists Mary Elizabeth Ouimet, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 11
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)
Kenosha Community Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Kenosha Community Health Center, Inc., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 24Source: 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 Waiver 52D0909220
Kenosha Community Health Center · Kenosha, WICertificate of Waiver 52D2130841
Kenosha Community Health Center · Kenosha, 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 Kenosha Community Health Center, Inc.'s NPI number?
The NPI number for Kenosha Community Health Center, Inc. is 1265435960. It was assigned to this organization in the NPPES registry on May 27, 2005.
Where is Kenosha Community Health Center, Inc. located?
Kenosha Community Health Center, Inc. is located at 4536 22nd Ave, Kenosha, WI 53140. The listed phone number is (262) 656-0044.
What is Kenosha 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 Kenosha Community Health Center, Inc. enrolled in Medicare?
Yes. Kenosha Community Health Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kenosha Community Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 9 Medicare specialties reassign their Medicare billing to Kenosha 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 (10), Clinical Social Worker (3) and Mental Health Counselor (3). Of these, 6 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kenosha Community Health Center, Inc. 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 Kenosha Community Health Center, Inc. accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Kenosha 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 Kenosha Community Health Center, Inc. was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kenosha Community Health Center, Inc. · NPI 1265435960
Federally Qualified Health Center (FQHC) organization in Kenosha, Wisconsin. Organization record, active in the CMS NPPES registry since May 27, 2005.
## Identity
- **NPI:** 1265435960 (Entity type: Organization)
- **Enumerated:** May 27, 2005
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Mary Ouimet, CEO
## Practice location
- **Address:** 4536 22ND AVE, Kenosha, WI 53140-5917
- **Phone:** (262) 656-0044 · **Fax:** (262) 653-2218
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Clinical Social Worker (3), Mental Health Counselor (3); 6 practice at this address and 22 within 10 miles; [full list](https://npiprofile.com/npi/1265435960/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2026
- **Other identifiers:** Medicaid 32956300 (WI)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265435960) · Data from the CMS NPPES public registry.