POTAWATOMI HEALTH & WELLNESS CENTER
NPI 1285741306
Clinic/Center - Federally Qualified Health Center (FQHC) in Crandon, WI

Active since August 24, 2006
8201 MISH KO SWEN DRIVE, CRANDON, WI 54520(715) 478-4300(715) 478-4300 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 9, 2020, Aug 25, 2017 (2 updates tracked since 2017).

About Potawatomi Health & Wellness Center NPPES

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

POTAWATOMI HEALTH & WELLNESS CENTER (NPI 1285741306) is a healthcare organization registered as a federally qualified health center (fqhc) in Crandon, Wisconsin and active in the NPI registry since August 2006. The organization lists Ned Daniels, Tribal Chairman, as its authorized official.

NPPES Registry Identity

NPI1285741306
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFOREST COUNTY POTAWATOMI COMMUNITY
Location Address8201 MISH KO SWEN DRIVECrandon, WI 54520-8631
Mailing AddressPo Box 396Crandon, WI 54520-0396 · (715) 478-4300 · Fax (715) 478-4490
Fax(715) 478-4300
Organization SubpartNo
Authorized OfficialNed DanielsTribal Chairman · (715) 478-4824
Enumeration DateAugust 24, 2006
Last NPPES UpdateDecember 9, 20202 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
✔ NPI 1285741306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedDietary ManagerTaxonomy 132700000X
Also ListedNutritionistTaxonomy 133N00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X
Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
Also ListedClinic/Center · Radiology, MammographyTaxonomy 261QR0206X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedEyewear SupplierTaxonomy 332H00000X
Also ListedHearing Aid EquipmentTaxonomy 332S00000X
8201 MISH KO SWEN DRIVE, Crandon, WI 54520

Other Names 1

Doing Business AsPotawatomi Health & Wellness Center

Other Identifiers 10

Medicaid32956600WI
Other42182600WI · Mental Health
Medicaid41752300WI
Other391235059016WI · Blue Cross Blue Shield
Other44006100WI · Prenatal Care
OtherDA0385WI · Railroad Medicare
Other42182600WI · Aoda Clinic
Medicaid42182600WI
Medicaid44006100WI
Other41752300WI · Durable Medical Equipment

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Potawatomi Health & Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Potawatomi Health & Wellness Center, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner7
Clinical Social Worker4
Optometry4
Podiatry3
Chiropractic2
Mental Health Counselor2
Physical Therapist in Private Practice2
Psychiatry2
5 other specialties5

Nearest to this location (20)

See all 31
Mental Health Counselor
NPI 1699436733
8201 MISH KO SWEN DR
Crandon, WI 54520
(715) 478-4339
✔ PECOSSame address
Optometry
NPI 1477178259
8201 MISH KO SWEN DR
Crandon, WI 54520
(715) 478-4300
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1962432658
8201 MISH KO SWEN DR
Crandon, WI 54520
(715) 478-4300
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1932691771
8201 MISH KO SWEN DR
Crandon, WI 54520
(715) 478-4344
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326574732
FOREST COUNTY POTAWATOMI 8201 MISH KO SWEN DRIVE
Crandon, WI 54501
(715) 478-4300
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1497500391
8201 MISH KO SWEN DR
Crandon, WI 54520
(715) 478-4300
✔ PECOSSame address
Nurse Practitioner
NPI 1992015580
8201 MISH KO SWEN DR
Crandon, WI 54520
(715) 478-4332
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457632747
8201 MISH KO SWEN DR
Crandon, WI 54520
(715) 478-4300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518217280
5416 EVERYBODYS RD
Crandon, WI 54520
(715) 478-4890
✔ PECOS✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1508025347
8201 MISH KO SWEN DR
Crandon, WI 54520
(715) 478-4300
✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1053619387
8201 MISH KO SWEN DR
Crandon, WI 54520
(715) 478-4300
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1124521414
PO BOX 396
Crandon, WI 54520
(715) 478-4339
✔ PECOS✔ Accepts Medicare4.6 mi
Optometry
NPI 1114935095
8201 MISHKOSEN DR FOREST COUNTY POTAWATOMI HEALTH & WELLNESS CENTER
Crandon, WI 54520
(715) 478-4300
✔ PECOS✔ Accepts Medicare4.6 mi
Clinical Social Worker
NPI 1861896540
1225 LANGLADE RD
Antigo, WI 54409
(715) 627-6694
✔ PECOS32 mi
Nurse Practitioner
NPI 1295381481
112 E 5TH AVE
Antigo, WI 54409
(715) 623-9225
✔ PECOS✔ Accepts Medicare33 mi
Psychiatry
NPI 1700838836
110 E 5TH AVE
Antigo, WI 54409
(715) 623-2351
✔ PECOS✔ Accepts Medicare33 mi
Optometry
NPI 1568742229
200 FAIRBANKS ST STE 1
Iron Mountain, MI 49801
(906) 774-8280
✔ PECOS41 mi
Podiatry
NPI 1316933542
311 ELM ST
Woodruff, WI 54568
(715) 634-9023
✔ PECOS47 mi
Pediatric Medicine
NPI 1356845762
9576 HWY 70
Minocqua, WI 54548
(715) 358-1709
✔ PECOS47 mi
Chiropractic
NPI 1588310148
W5675 COUNTY ROAD B
Shawano, WI 54166
(715) 526-6158
58 mi
See all 31 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 Forest County Potawatomi Community's NPI number?

The NPI number for Forest County Potawatomi Community is 1285741306. It was assigned to this organization in the NPPES registry on August 24, 2006. The provider is doing business as Potawatomi Health & Wellness Center.

Where is Forest County Potawatomi Community located?

Forest County Potawatomi Community is located at 8201 Mish Ko Swen Drive, Crandon, WI 54520. The listed phone number is (715) 478-4300.

What is Forest County Potawatomi Community's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Forest County Potawatomi Community enrolled in Medicare?

Yes. Forest County Potawatomi Community is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Forest County Potawatomi Community?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 13 Medicare specialties reassign their Medicare billing to Forest County Potawatomi Community. 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 (7), Clinical Social Worker (4) and Optometry (4). Of these, 8 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Forest County Potawatomi Community accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 27 other insurers list Forest County Potawatomi Community 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 Forest County Potawatomi Community was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.