WISCONSIN WELLNESS
NPI 1548041924
Clinic/Center - Mental Health (Including Community Mental Health Center) in Appleton, WI

Active since October 11, 2023
5643 W WATERFORD LN, APPLETON, WI 54913(920) 404-2100 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2024, Oct 11, 2023 (2 updates tracked since 2023).

About Wisconsin Wellness NPPES

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

WISCONSIN WELLNESS (NPI 1548041924) is a healthcare organization registered as a mental health (including community mental health center) in Appleton, Wisconsin and active in the NPI registry since October 2023. The organization lists Ryan Joseph Rohde, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1548041924
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameWISCONSIN WELLNESS MH, LLC
Location Address5643 W WATERFORD LNAppleton, WI 54913-8438
Mailing Address5643 W Waterford LnAppleton, WI 54913-8438 · (920) 404-2100
Organization SubpartNo
Authorized OfficialRyan Joseph RohdeExecutive Director · (715) 281-0612
Enumeration DateOctober 11, 2023
Last NPPES UpdateApril 26, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1548041924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
5643 W WATERFORD LN, Appleton, WI 54913

Other Names 1

Doing Business AsWisconsin Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Wisconsin Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Wisconsin Wellness, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Mental Health Counselor
NPI 1780505065
5643 W WATERFORD LN
Appleton, WI 54913
(920) 404-2100
✔ PECOSSame address
Clinical Psychologist
NPI 1497992705
5643 W WATERFORD LN
Appleton, WI 54913
(920) 404-2100
✔ PECOSSame address
Mental Health Counselor
NPI 1306395504
W6144 AEROTECH DR
Appleton, WI 54914
(920) 733-2065
✔ PECOS0.3 mi
Mental Health Counselor
NPI 1144686973
W6144 AEROTECH DR
Appleton, WI 54914
(920) 230-2065
✔ PECOS0.3 mi
Mental Health Counselor
NPI 1336224922
17 PARK PL STE 200
Appleton, WI 54914
(920) 212-1456
✔ PECOS1.3 mi
Clinical Psychologist
NPI 1619594355
2500 E ENTERPRISE AVE STE B
Appleton, WI 54913
(920) 416-8577
✔ PECOS6.7 mi
Clinical Social Worker
NPI 1386658979
1835 E EDGEWOOD DR STE 105107
Appleton, WI 54913
(920) 234-6842
✔ PECOS✔ Accepts Medicare6.9 mi
Clinical Social Worker
NPI 1710534748
505 S WASHBURN ST
Oshkosh, WI 54904
(920) 232-2332
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1578894382
986 WIANECKI RD
Kronenwetter, WI 54455
(715) 551-1256
✔ PECOS70 mi

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 Wisconsin Wellness Mh, LLC's NPI number?

The NPI number for Wisconsin Wellness Mh, LLC is 1548041924. It was assigned to this organization in the NPPES registry on October 11, 2023. The provider is doing business as Wisconsin Wellness.

Where is Wisconsin Wellness Mh, LLC located?

Wisconsin Wellness Mh, LLC is located at 5643 W Waterford Ln, Appleton, WI 54913. The listed phone number is (920) 404-2100.

What is Wisconsin Wellness Mh, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Wisconsin Wellness Mh, LLC enrolled in Medicare?

Yes. Wisconsin Wellness Mh, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wisconsin Wellness Mh, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Wisconsin Wellness Mh, LLC. 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 Mental Health Counselor (4), Clinical Psychologist (2) and Clinical Social Worker (2). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wisconsin Wellness Mh, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and HealthPartners list Wisconsin Wellness Mh, LLC 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 Wisconsin Wellness Mh, LLC was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.