FORT HEALTHCARE INC
NPI 1417993361
Otolaryngology in Fort Atkinson, WI

NPI Status: Active since June 21, 2006

Contact Information

611 SHERMAN AVE E
FORT ATKINSON, WI
ZIP 53538
Phone: (920) 563-6667
Fax: (920) 563-0145

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  • Organization
  • Otolaryngology
  • Accepts Insurance

About FORT HEALTHCARE INC

This page provides the complete NPI Profile along with additional information for Fort Healthcare Inc, a provider established in Fort Atkinson, Wisconsin operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1417993361 assigned on June 2006. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated June 2026. Fort Healthcare Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Shelby Walling (Payer Credentialing Specialist)

NPI
1417993361
Provider Legal Name
FORT HEALTHCARE INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
611 SHERMAN AVE E FORT ATKINSON, WI 53538
Location Phone
(920) 563-6667
Location Fax
(920) 563-0145
Mailing Address
PO BOX 249 FORT ATKINSON, WI 53538
Mailing Phone
(920) 563-6580
Mailing Fax
(920) 563-0145
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2006
Last Update Date
06-11-2026
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • MercyCare Bronze 10,000 (1 Free PCP Visit) - HMO
  • MercyCare Bronze Standard Expanded - HMO
  • MercyCare Gold Standard - HMO
  • MercyCare Silver 2,500 (3 Free PCP Visits) - HMO
  • MercyCare Silver Health Savings - HMO
  • MercyCare Silver Standard - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHELBY WALLING

Authorized Official Title
PAYER CREDENTIALING SPECIALIST
Authorized Official Phone
(920) 563-4466

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
21273900MEDICAID (05)WI 
21274000MEDICAID (05)WI 
000000491OTHER (01)MEDICARE PTAN
21273800MEDICAID (05)WI 
21274200MEDICAID (05)WI 
21274600MEDICAID (05)WI 
21274500MEDICAID (05)WI 
21279400MEDICAID (05)WI 
11011900MEDICAID (05)WI 
21274300MEDICAID (05)WI 
21274900MEDICAID (05)WI 
21275700MEDICAID (05)WI 
21274100MEDICAID (05)WI 
21274800MEDICAID (05)WI 
52D0392916OTHER (01)WICLIA
42237700MEDICAID (05)WI 
21274700MEDICAID (05)WI 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417993361, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 1 + 8 + 9 + 6 + 3 + 1 + 2 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1417993361.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Emergency Medicine
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Emergency Medicine
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Emergency Medicine
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Emergency Medicine
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Radiology (Diagnostic Radiology)
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Physician Assistant
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Nurse Anesthetist, Certified Registered
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Nurse Anesthetist, Certified Registered
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Psychiatry & Neurology (Neurology)
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Nurse Anesthetist, Certified Registered
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Nurse Anesthetist, Certified Registered
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Nurse Anesthetist, Certified Registered
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Psychiatry & Neurology (Neurology)
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Physical Therapist
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Physical Therapist
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Registered Nurse (Critical Care Medicine)
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Physical Therapy Assistant
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Emergency Medicine
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Dermatology
611 SHERMAN AVE E, 3RD FLOOR
FORT ATKINSON, WI 53538

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417993361, enumerated as an "organization" on June 21, 2006.

The provider is located at 611 SHERMAN AVE E FORT ATKINSON, WI 53538 and the phone number is (920) 563-6667.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, MercyCare. Please consult your insurance carrier or call the provider to verify.