FORT HEALTHCARE INC
NPI 1417450115
Clinic/Center - Rural Health in Fort Atkinson, WI
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, 2028, maintains 7 additional practice locations, and lists Shelby Walling, Payer Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 7
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)
Fort Healthcare Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
298Medicare enrollment records show 298 clinicians reassign Medicare billing to Fort Healthcare Inc, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 59 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 29
Nearest to this location (20)
See all 298Source: 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
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, 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 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.
Is Fort Healthcare Inc enrolled in Medicare?
Yes. Fort Healthcare Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fort Healthcare Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 298 clinicians in 29 Medicare specialties reassign their Medicare billing to Fort Healthcare 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 Diagnostic Radiology (135), Nurse Practitioner (29) and Internal Medicine (19). Of these, 19 practice at this address and 59 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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, Dean Health Plan, MercyCare, 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 4 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.
# Fort Healthcare Inc · NPI 1417450115
Rural Health organization in Fort Atkinson, Wisconsin. Organization record, active in the CMS NPPES registry since March 9, 2018.
## Identity
- **NPI:** 1417450115 (Entity type: Organization)
- **Enumerated:** March 9, 2018
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** RHC (Other Name)
- **Organization subpart:** Yes (part of Fort Healthcare Inc)
- **Authorized official:** Shelby Walling, PAYER CREDENTIALING SPECIALIST
## Practice location
- **Address:** 611 SHERMAN AVE E, Fort Atkinson, WI 53538-1960
- **Phone:** (920) 563-5571 · **Fax:** (920) 563-7705
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 298 clinicians in 29 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (135), Nurse Practitioner (29), Internal Medicine (19); 19 practice at this address and 59 within 10 miles; [full list](https://npiprofile.com/npi/1417450115/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417450115) · Data from the CMS NPPES public registry.