PIVOTAL HEALTH, INC.
NPI 1508465220
Family Medicine in Middleton, WI

Active since October 23, 2020CLIA 52D2221582 · Waiver
3030 LAURA LN STE 130, MIDDLETON, WI 53562(888) 688-4746 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2021, Sep 30, 2021, Dec 18, 2020 and 1 more (4 updates tracked since 2020).

About Pivotal Health, Inc. NPPES

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

PIVOTAL HEALTH, INC. (NPI 1508465220) is a healthcare organization registered as a family medicine in Middleton, Wisconsin and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through April 21, 2027, maintains a secondary practice location in Menomonee Falls, and lists Salvatore Pier Braico, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1508465220
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePIVOTAL HEALTH, INC.
Location Address3030 LAURA LN STE 130Middleton, WI 53562-1872
Mailing Address3030 Laura Ln Ste 130Middleton, WI 53562-1872 · (608) 213-8246 · Fax (608) 960-7789
Organization SubpartNo
Authorized OfficialSalvatore Pier BraicoChief Executive Officer · (608) 213-8246
Enumeration DateOctober 23, 2020
Last NPPES UpdateNovember 15, 20214 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
✔ NPI 1508465220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3030 LAURA LN STE 130, Middleton, WI 53562

Secondary Practice Location 1

Location 1W134N5500 Campbell DrMenomonee Falls, WI 53051-7032 · Phone (888) 688-4746

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pivotal Health, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Pivotal Health, Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner15
Family Practice1

Clinicians, nearest first (16)

Nurse Practitioner
NPI 1609423193
3030 LAURA LN
Middleton, WI 53562
(888) 688-4746
✔ PECOSSame address
Nurse Practitioner
NPI 1770920779
3030 LAURA LN STE 130
Middleton, WI 53562
(888) 688-4746
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164154399
3030 LAURA LN STE 130
Middleton, WI 53562
(888) 688-4746
✔ PECOSSame address
Nurse Practitioner
NPI 1336803378
3030 LAURA LN
Middleton, WI 53562
(888) 688-4746
✔ PECOSSame address
Nurse Practitioner
NPI 1831866367
752 N HIGH POINT RD
Madison, WI 53717
(608) 824-4000
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1154877165
3102 MERITER WAY
Madison, WI 53719
(608) 417-8800
✔ PECOS✔ Accepts Medicare6.2 mi
Family Practice
NPI 1497792139
1446 N RANDALL AVE
Janesville, WI 53545
(608) 852-5154
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1518416106
1708 PARAMOUNT CT
Waukesha, WI 53186
(262) 522-8640
✔ PECOS67 mi
Nurse Practitioner
NPI 1699044156
5800 W LAYTON AVE
Greenfield, WI 53220
(262) 532-3067
✔ PECOS✔ Accepts Medicare78 mi
Nurse Practitioner
NPI 1215520762
9969 S 27TH ST FL 2
Franklin, WI 53132
(414) 325-4940
✔ PECOS✔ Accepts Medicare81 mi
Nurse Practitioner
NPI 1376164194
1346 N LAKE ST
Neenah, WI 54956
(775) 338-0054
✔ PECOS93 mi
Nurse Practitioner
NPI 1376948638
3329 N RICHMOND ST
Appleton, WI 54911
(920) 380-2715
✔ PECOS99 mi
Nurse Practitioner
NPI 1871835330
3925 N GATEWAY DR
Appleton, WI 54913
(920) 702-6371
✔ PECOS✔ Accepts Medicare100 mi
Nurse Practitioner
NPI 1588653919
711 W ADAMS ST
Black River Falls, WI 54615
(715) 284-3662
✔ PECOS✔ Accepts Medicare106 mi
Nurse Practitioner
NPI 1588913859
525 AIRPORT DR
Oneida, WI 54155
(920) 869-2711
✔ PECOS117 mi
Nurse Practitioner
NPI 1881944858
404 W FOUNTAIN ST
Albert Lea, MN 56007
(507) 373-2384
✔ PECOS✔ Accepts Medicare198 mi

Source: 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 of Waiver 52D2221582

Pivotal Health, Inc · Madison, WI
Active · expires Apr 21, 2027
CLIA Number52D2221582
Laboratory TypeMobile Laboratory
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorDr. John Andrew Culp
Laboratory Phone(608) 213-8246
Laboratory LocationPivotal Health, Inc625 N Segoe Rd Unit 107, Madison, WI 53705
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pivotal Health, Inc.'s NPI number?

The NPI number for Pivotal Health, Inc. is 1508465220. It was assigned to this organization in the NPPES registry on October 23, 2020.

Where is Pivotal Health, Inc. located?

Pivotal Health, Inc. is located at 3030 Laura Ln Ste 130, Middleton, WI 53562. The listed phone number is (888) 688-4746.

What is Pivotal Health, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pivotal Health, Inc. enrolled in Medicare?

Yes. Pivotal Health, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pivotal Health, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 2 Medicare specialties reassign their Medicare billing to Pivotal Health, 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 Nurse Practitioner (15) and Family Practice (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pivotal Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2221582) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pivotal Health, Inc. was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.