HEART FAILURE SURVIVAL CENTER OF AMERICA SC
NPI 1619341815
Internal Medicine - Cardiovascular Disease in Marinette, WI

Active since November 25, 2015CLIA 52D2151408 · Waiver
1281 MARINETTE AVE, MARINETTE, WI 54143(715) 330-7090(715) 732-0828 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 14, 2022, Jul 21, 2020, Jul 16, 2020 and 2 more (5 updates tracked since 2015).

About Heart Failure Survival Center Of America Sc NPPES

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

HEART FAILURE SURVIVAL CENTER OF AMERICA SC (NPI 1619341815) is a healthcare organization registered as a cardiovascular disease in Marinette, Wisconsin and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through July 17, 2028, maintains 2 additional practice locations, and lists Brenda M Quaak, Project Manager, as its authorized official.

NPPES Registry Identity

NPI1619341815
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameHEART FAILURE SURVIVAL CENTER OF AMERICA SC
Location Address1281 MARINETTE AVEMarinette, WI 54143-2018
Mailing Address1281 Marinette AveMarinette, WI 54143-2018 · (715) 330-7090 · Fax (715) 732-0828
Fax(715) 732-0828
Organization SubpartNo
Authorized OfficialBrenda M QuaakProject Manager · (715) 330-7090
Enumeration DateNovember 25, 2015
Last NPPES UpdateDecember 14, 20225 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
✔ NPI 1619341815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in WI · 47840-20
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1281 MARINETTE AVE, Marinette, WI 54143

Secondary Practice Locations 2

Location 11818 E Wisconsin AveAppleton, WI 54911-4051 · Phone (920) 939-6058 · Fax (920) 939-6059
Location 2515 N US Highway 141Crivitz, WI 54114-1639 · Phone (715) 854-7050 · Fax (715) 854-3485

Other Identifiers 1

Medicaid100053346WI

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heart Failure Survival Center Of America Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Heart Failure Survival Center Of America Sc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1417561937
1281 MARINETTE AVE
Marinette, WI 54143
(715) 330-7090
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1033226303
1281 MARINETTE AVE
Marinette, WI 54143
(715) 330-7090
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780166819
515 N US HIGHWAY 141
Crivitz, WI 54114
(715) 854-7050
✔ PECOS✔ Accepts Medicare20 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 52D2151408

Heart Failure Survival Center Of America · Marinette, WI
Active · expires Jul 17, 2028
CLIA Number52D2151408
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorDr. Yasser Salem
Laboratory Phone(920) 939-6058
Laboratory LocationHeart Failure Survival Center Of America1281 Marinette Ave, Marinette, WI 54143
CLIA data matches this NPI record on: Address 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 Heart Failure Survival Center Of America Sc's NPI number?

The NPI number for Heart Failure Survival Center Of America Sc is 1619341815. It was assigned to this organization in the NPPES registry on November 25, 2015.

Where is Heart Failure Survival Center Of America Sc located?

Heart Failure Survival Center Of America Sc is located at 1281 Marinette Ave, Marinette, WI 54143. The listed phone number is (715) 330-7090.

What is Heart Failure Survival Center Of America Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Heart Failure Survival Center Of America Sc enrolled in Medicare?

Yes. Heart Failure Survival Center Of America Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heart Failure Survival Center Of America Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Heart Failure Survival Center Of America Sc, in Cardiovascular Disease (Cardiology) and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Heart Failure Survival Center Of America Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2151408) is associated with this NPI, valid through July 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Heart Failure Survival Center Of America Sc accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Heart Failure Survival Center Of America Sc 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 Heart Failure Survival Center Of America Sc was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.