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FORT HEALTHCARE INC
NPI 1417450115
Clinic/Center - Rural Health in Fort Atkinson, WI

Active since March 09, 2018CLIA 52D0392916 · Microscopy
611 SHERMAN AVE E, FORT ATKINSON, WI 53538(920) 563-5571(920) 563-7705 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2022, Mar 11, 2020, Jun 28, 2018 and 2 more (5 updates tracked since 2018).

About Fort Healthcare Inc NPPES

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

FORT HEALTHCARE INC (NPI 1417450115) is a healthcare organization registered as a rural health in Fort Atkinson, Wisconsin and active in the NPI registry since March 2018. The organization holds a CLIA Microscopy certificate valid through August 31, 2026, maintains 7 additional practice locations, and lists Shelby Walling, Payer Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1417450115
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFORT HEALTHCARE INC
Location Address611 SHERMAN AVE EFort Atkinson, WI 53538-1960
Mailing AddressPo Box 249Fort Atkinson, WI 53538-0249 · (920) 568-6580 · Fax (920) 568-4004
Phone(920) 563-5571
Fax(920) 563-7705
Organization SubpartYes
Authorized OfficialShelby WallingPayer Credentialing Specialist · (920) 563-4466
Enumeration DateMarch 9, 2018
Last NPPES UpdateJune 11, 20265 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1417450115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
611 SHERMAN AVE E, Fort Atkinson, WI 53538
Open in Google Maps ↗

Other Names 1

Other NameRhc

Secondary Practice Locations 7

Location 11520 Madison AveFort Atkinson, WI 53538-3100 · Phone (920) 563-5500 · Fax (920) 563-4472
Location 2611 Sherman Ave E Fl 3Fort Atkinson, WI 53538-1960 · Phone (920) 568-1000 · Fax (920) 568-5477
Location 3611 Sherman Ave EFort Atkinson, WI 53538-1960 · Phone (920) 568-6596 · Fax (920) 568-9429
Location 4840 W Racine StJefferson, WI 53549-1053 · Phone (920) 674-6000 · Fax (920) 674-3034
Location 51461 W Main StWhitewater, WI 53190-1568 · Phone (262) 473-5888 · Fax (262) 473-3960
Location 6400 Doctors CtJohnson Creek, WI 53038-9567 · Phone (920) 699-4000 · Fax (920) 699-5355
Location 7650 McMillen StFort Atkinson, WI 53538-1275 · Phone (920) 563-8900 · Fax (920) 563-0318

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MercyCare Health Plans, Quartz.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 52D0392916

Fort Healthcare Jefferson · Jefferson, WI
Active · expires Aug 31, 2026
CLIA Number52D0392916
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. David M. Misorski
Laboratory Phone(920) 674-6000
Laboratory LocationFort Healthcare Jefferson840 W Racine Ave, Jefferson, WI 53549
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BONNIE L POPPY APNP
Nurse Practitioner
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Jefferson County (920) 563-5571
PATRICIA A STECKELMANN P.A.
Physician Assistant
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Jefferson County (920) 568-5330
DR. ROBERT P SIEVERT D.O.
Emergency Medicine
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Jefferson County (920) 568-5330
THOMAS R. PERRY, M.D.,S.C.
Psychiatry & Neurology (Neurology)
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Jefferson County (920) 568-5334
ELIZABETH J HANS
Social Worker
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Jefferson County (608) 647-4705
DAWN ELIZABETH KUBLY PT
Physical Therapist
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Jefferson County (920) 568-5299
BRADLEY THOMAS WAGNER CRNA
Nurse Anesthetist, Certified Registered
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Jefferson County (920) 568-5000
DEBORAH L ROE APNP
Nurse Practitioner (Adult Health)
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Jefferson County (920) 568-6090

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 Fort Healthcare Inc's NPI number?

The NPI number for Fort Healthcare Inc is 1417450115. It was assigned to this organization in the NPPES registry on March 9, 2018. The provider is also known as Rhc.

Where is Fort Healthcare Inc located?

Fort Healthcare Inc is located at 611 Sherman Ave E, Fort Atkinson, WI 53538. The listed phone number is (920) 563-5571.

What is Fort Healthcare Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Fort Healthcare Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 52D0392916) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fort Healthcare Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, MercyCare Health Plans and Quartz list Fort Healthcare 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 Fort Healthcare Inc was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.