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FORT HEALTHCARE INC
NPI 1417993361
Otolaryngology in Fort Atkinson, WI

Active since June 21, 2006
611 SHERMAN AVE E, FORT ATKINSON, WI 53538(920) 563-6667(920) 563-0145 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fort Healthcare Inc NPPES

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

FORT HEALTHCARE INC (NPI 1417993361), doing business as Fort Atkinson Memorial Health Services, is a healthcare organization registered as an otolaryngology in Fort Atkinson, Wisconsin and active in the NPI registry since June 2006. The organization lists Shelby Walling, Payer Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1417993361
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameFORT HEALTHCARE INC
Location Address611 SHERMAN AVE EFort Atkinson, WI 53538-1960
Mailing AddressPo Box 249Fort Atkinson, WI 53538-0249 · (920) 563-6580 · Fax (920) 568-4004
Phone(920) 563-6667
Fax(920) 563-0145
Organization SubpartNo
Authorized OfficialShelby WallingPayer Credentialing Specialist · (920) 563-4466
Enumeration DateJune 21, 2006
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1417993361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
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.
611 SHERMAN AVE E, Fort Atkinson, WI 53538
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Other Names 1

Former Legal Business NameFort Atkinson Memorial Health Services

Other Identifiers 17

Medicaid21273900WI
Medicaid21274000WI
Other000000491Medicare Ptan
Medicaid21273800WI
Medicaid21274200WI
Medicaid21274600WI
Medicaid21274500WI
Medicaid21279400WI
Medicaid11011900WI
Medicaid21274300WI
Medicaid21274900WI
Medicaid21275700WI
Medicaid21274100WI
Medicaid21274800WI
Other52D0392916WI · Clia
Medicaid42237700WI
Medicaid21274700WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

298

Medicare 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

Diagnostic Radiology135
Nurse Practitioner29
Internal Medicine19
Obstetrics/Gynecology15
Certified Registered Nurse Anesthetist (CRNA)12
Family Practice10
Hospitalist10
Cardiovascular Disease (Cardiology)8
21 other specialties60

Nearest to this location (20)

See all 298
Heidi Jennrich, APNP
Nurse Practitioner
NPI 1548223746
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(950) 563-5571
✔ PECOSSame address
Anastasia Kintop
Nurse Practitioner
NPI 1376461400
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 563-5571
✔ PECOSSame address
Lindsay Vanselow, APNP
Nurse Practitioner
NPI 1437523669
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 568-6596
✔ PECOS✔ Accepts MedicareSame address
Michael Anderson, M.D.
Otolaryngology
NPI 1588685077
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 563-6667
✔ PECOS✔ Accepts MedicareSame address
William Hofmann, M.D.
Otolaryngology
NPI 1306844949
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 563-6667
✔ PECOS✔ Accepts MedicareSame address
Cheryl Kinney, AU.D.
Qualified Audiologist
NPI 1184715989
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 563-6667
✔ Accepts MedicareSame address
Ramsey Larson, MD
Family Practice
NPI 1710928387
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 563-5571
✔ PECOS✔ Accepts MedicareSame address
Leah Lyle, LMFT
Marriage and Family Therapist
NPI 1487147138
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 563-9542
✔ PECOS✔ Accepts MedicareSame address
Lauren Mayer, APNP
Nurse Practitioner
NPI 1205232626
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 563-5571
✔ PECOSSame address
Bonnie Poppy, APNP
Nurse Practitioner
NPI 1003137290
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 563-5571
✔ PECOS✔ Accepts MedicareSame address
Deborah Roe, APNP
Nurse Practitioner
NPI 1053590851
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 568-6090
✔ PECOS✔ Accepts MedicareSame address
Angela Schuldies, PMHNP, APRN
Nurse Practitioner
NPI 1538882782
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 563-9542
✔ PECOS✔ Accepts MedicareSame address
Dane Schultz
Nurse Practitioner
NPI 1649933748
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 563-5571
✔ PECOS✔ Accepts MedicareSame address
Matthew Sdano, MD
Otolaryngology
NPI 1376648378
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 563-4466
✔ PECOS✔ Accepts MedicareSame address
Monica Sharma, MD
Internal Medicine
NPI 1962084723
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 568-6090
✔ PECOS✔ Accepts MedicareSame address
Nathan Spangler, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1336727452
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 568-5000
✔ PECOS✔ Accepts MedicareSame address
Thomas Tackman, MD
Internal Medicine
NPI 1902802416
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 563-5571
✔ PECOS✔ Accepts MedicareSame address
Bradley Wagner, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043581770
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 568-5000
✔ PECOS✔ Accepts MedicareSame address
Abby Ziegler, FNP-BC
Nurse Practitioner
NPI 1073320123
611 SHERMAN AVE E
Fort Atkinson, WI 53538
(920) 563-5571
✔ PECOS✔ Accepts MedicareSame address
Nathaniel Fullerton, MD
Internal Medicine
NPI 1366417461
611 E SHERMAN AVE
Fort Atkinson, WI 53538
(920) 568-5411
✔ PECOS✔ Accepts Medicare0.1 mi
See all 298 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 Fort Healthcare Inc's NPI number?

The NPI number for Fort Healthcare Inc is 1417993361. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider was formerly known as Fort Atkinson Memorial Health Services.

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) 563-6667.

What is Fort Healthcare Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

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.

What insurance does Fort Healthcare Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, 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.