1. Home
  2. Directory
  3. Wisconsin
  4. Kenosha
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

INDEPENDENT PHYSICIANS OF WISCONSIN, LLC
NPI 1588255996
Durable Medical Equipment & Medical Supplies in Kenosha, WI

Active since January 28, 2021CLIA 52D2170876 · Waiver
6125 GREEN BAY RD STE 600, KENOSHA, WI 53142(877) 287-1962(855) 809-8128 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Independent Physicians Of Wisconsin, Llc NPPES

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

INDEPENDENT PHYSICIANS OF WISCONSIN, LLC (NPI 1588255996) is a healthcare organization registered as a durable medical equipment & medical supplies in Kenosha, Wisconsin and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Donna Hayes, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1588255996
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameINDEPENDENT PHYSICIANS OF WISCONSIN, LLC
Location Address6125 GREEN BAY RD STE 600Kenosha, WI 53142-2928
Mailing Address5434 W Capitol Dr Ste 3Milwaukee, WI 53216-2298 · (414) 875-0505 · Fax (866) 225-2790
Phone(877) 287-1962
Fax(855) 809-8128
Organization SubpartYes
Authorized OfficialDonna HayesManaging Partner · (877) 287-1962
Enumeration DateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1588255996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
6125 GREEN BAY RD STE 600, Kenosha, WI 53142
Open in Google Maps ↗

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 52D2170876

Independent Physicians Of Wisconsin, LLC · Kenosha, WI
Active · expires Aug 20, 2027
CLIA Number52D2170876
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorDr. Sharee Chance-Lawson
Laboratory Phone(877) 287-1962
Laboratory LocationIndependent Physicians Of Wisconsin, LLC6125 Green Bay Rd, Suite 600, Kenosha, WI 53142
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOOT FACTOR PODIATRY LLC
Podiatrist (Foot & Ankle Surgery)
6125 GREEN BAY RD STE 600
KENOSHA, WI 53142
Kenosha County (877) 287-1962
PROMED SLEEP CENTER LLC
Internal Medicine (Sleep Medicine)
6125 GREEN BAY RD STE 600
KENOSHA, WI 53142
Kenosha County (414) 687-6430

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 Independent Physicians Of Wisconsin, LLC's NPI number?

The NPI number for Independent Physicians Of Wisconsin, LLC is 1588255996. It was assigned to this organization in the NPPES registry on January 28, 2021.

Where is Independent Physicians Of Wisconsin, LLC located?

Independent Physicians Of Wisconsin, LLC is located at 6125 Green Bay Rd Ste 600, Kenosha, WI 53142. The listed phone number is (877) 287-1962.

What is Independent Physicians Of Wisconsin, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Independent Physicians Of Wisconsin, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2170876) is associated with this NPI, valid through August 20, 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 Independent Physicians Of Wisconsin, LLC was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.