HICKORY RIDGE ADULT FAMILY HOME
NPI 1326170267
Custodial Care Facility - Adult Care Home in Blair, WI

Q: What is County Of Trempealeau's NPI number?

The NPI number for County Of Trempealeau is 1326170267. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is doing business as Hickory Ridge Adult Family Home.

Q: What is County Of Trempealeau's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since March 09, 2007

W17306 ARNESON RIDGE RD., BLAIR, WI 54616(608) 989-2018 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Hickory Ridge Adult Family Home NPPES

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

HICKORY RIDGE ADULT FAMILY HOME (NPI 1326170267) is a healthcare organization registered as an adult care home in Blair, Wisconsin and active in the NPI registry since March 2007. The organization lists Jerru Deetz, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1326170267

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameCOUNTY OF TREMPEALEAU

Location AddressW17306 ARNESON RIDGE RD.Blair, WI 54616

Mailing AddressW20410 State Road 121Whitehall, WI 54773-9147 · (715) 538-4312 · Fax (715) 538-2426

Phone(608) 989-2018

Organization SubpartYes

Authorized OfficialJerru DeetzExecutive Director · (715) 538-4312

Enumeration DateMarch 9, 2007

Last NPPES UpdateApril 15, 2021

NPPES CertifiedApril 15, 2021

✔ NPI 1326170267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in WI · 11796

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

W17306 ARNESON RIDGE RD., Blair, WI 54616

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Other Names 1

Doing Business AsHickory Ridge Adult Family Home

Other Identifiers 1

Other11796WI · Adult Family Home

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hickory Ridge Adult Family Home is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Hickory Ridge Adult Family Home, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Brooke Johnson-Hintz, LPC

Mental Health Counselor

NPI 1144745779

N36647 COUNTY ROAD QQQ
Whitehall, WI 54773

(715) 538-9134

✔ PECOS✔ Accepts Medicare5.2 mi

Jody Kroening, RN/DNP PMHNP-BC

Nurse Practitioner

NPI 1790929891

23062 WHITEHALL RD
Independence, WI 54747

(715) 985-3452

✔ PECOS✔ Accepts Medicare6.8 mi

Katrina Hammel, M.D.

Internal Medicine

NPI 1780894527

855 MANKATO AVE
Winona, MN 55987

(507) 454-3650

✔ PECOS✔ Accepts Medicare25 mi

James Persing, MD

Psychiatry

NPI 1588602379

808 MAIN ST E
Menomonie, WI 54751

(715) 232-1116

✔ PECOS50 mi

Madan Uprety, M.D.

Psychiatry

NPI 1528109758

12359 SUNRISE VALLEY DR STE 320
Reston, VA 20191

(703) 596-4796

✔ PECOS✔ Accepts Medicare809 mi

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 County Of Trempealeau's NPI number?

The NPI number for County Of Trempealeau is 1326170267. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is doing business as Hickory Ridge Adult Family Home.

Where is County Of Trempealeau located?

County Of Trempealeau is located at W17306 Arneson Ridge Rd., Blair, WI 54616. The listed phone number is (608) 989-2018.

What is County Of Trempealeau's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Is County Of Trempealeau enrolled in Medicare?

Yes. County Of Trempealeau is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Trempealeau?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to County Of Trempealeau, in Internal Medicine, Mental Health Counselor, Nurse Practitioner and Psychiatry. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for County Of Trempealeau was last updated on April 15, 2021. 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.