BLACK RIVER HEALTH INC
NPI 1285782250
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Black River Falls, WI

Active since January 08, 2007
711 W ADAMS ST, BLACK RIVER FALLS, WI 54615(715) 284-5361(715) 284-1398 Get Directions Write a Review

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

Record update history: Apr 4, 2025, May 17, 2023, Dec 16, 2016 (3 updates tracked since 2016).

About Black River Health Inc NPPES

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

BLACK RIVER HEALTH INC (NPI 1285782250) is a healthcare organization registered as an oxygen equipment & supplies in Black River Falls, Wisconsin and active in the NPI registry since January 2007. The organization lists Cathy Bukowski, Cfo, as its authorized official.

NPPES Registry Identity

NPI1285782250
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameBLACK RIVER HEALTH INC
Location Address711 W ADAMS STBlack River Falls, WI 54615-9108
Mailing Address711 W Adams StBlack River Falls, WI 54615-9108 · (715) 284-5361 · Fax (715) 284-1398
Fax(715) 284-1398
Organization SubpartNo
Authorized OfficialCathy BukowskiCfo · (715) 284-3661
Enumeration DateJanuary 8, 2007
Last NPPES UpdateApril 4, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1285782250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code332BX2000X
License✔ Licensed in WI · 1037
711 W ADAMS ST, Black River Falls, WI 54615

Other Identifiers 1

Medicaid41754300WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Black River Health Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20100930011605DME · Medical Supply Company with Respiratory TherapistDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

226

Medicare enrollment records show 226 clinicians reassign Medicare billing to Black River Health Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 32

Nurse Practitioner37
Diagnostic Radiology30
Family Practice24
Pathology20
Emergency Medicine17
Pulmonary Disease14
Certified Registered Nurse Anesthetist (CRNA)13
Internal Medicine13
24 other specialties58

Nearest to this location (20)

See all 226
Family Practice
NPI 1326084690
711 W ADAMS ST
Black River Falls, WI 54615
(715) 284-5361
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588653919
711 W ADAMS ST
Black River Falls, WI 54615
(715) 284-3662
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1144716911
711 W ADAMS ST
Black River Falls, WI 54615
(715) 284-1354
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1952556664
711 W ADAMS ST
Black River Falls, WI 54615
(715) 284-5361
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205661402
711 W ADAMS ST
Black River Falls, WI 54615
(715) 284-5361
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1831831320
711 W ADAMS ST
Black River Falls, WI 54615
(715) 284-5361
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1407620099
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-1899
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1356998843
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1932129665
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1386673481
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1225314131
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1093073975
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1770971970
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1720245103
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1003840372
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1922038892
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1578521571
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1700555331
610 W ADAMS ST
Black River Falls, WI 54615
(715) 284-4311
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1477612836
409 CTY RD R
Black River Falls, WI 54615
(715) 284-9477
✔ PECOS✔ Accepts Medicare0.4 mi
Mental Health Counselor
NPI 1235899022
920 FILLMORE ST
Black River Falls, WI 54615
(715) 797-4141
✔ PECOS✔ Accepts Medicare0.7 mi
See all 226 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 Black River Health Inc's NPI number?

The NPI number for Black River Health Inc is 1285782250. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Black River Health Inc located?

Black River Health Inc is located at 711 W Adams St, Black River Falls, WI 54615. The listed phone number is (715) 284-5361.

What is Black River Health Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

Is Black River Health Inc enrolled in Medicare?

Yes. Black River Health Inc is registered in the Medicare PECOS enrollment system.

When is Black River Health Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Wisconsin, Medical Supply Company with Respiratory Therapist) is due for revalidation by November 30, 2026. 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.

How many clinicians bill Medicare through Black River Health Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 226 clinicians in 32 Medicare specialties reassign their Medicare billing to Black River Health 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 (37), Diagnostic Radiology (30) and Family Practice (24). Of these, 4 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Black River Health Inc accept?

Health plans from Quartz and Security Health Plan list Black River Health 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 Black River Health Inc was last updated on April 4, 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.