SOUTHEAST WISCONSIN SURGERY CENTER LLC
NPI 1619611142
Clinic/Center - Ambulatory Surgical in Racine, WI

Active since April 21, 2022
3801 WASHINGTON AVE, RACINE, WI 53405(414) 949-1938 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, Apr 21, 2022 (2 updates tracked since 2022).

About Southeast Wisconsin Surgery Center Llc NPPES

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

SOUTHEAST WISCONSIN SURGERY CENTER LLC (NPI 1619611142) is a healthcare organization registered as an ambulatory surgical in Racine, Wisconsin and active in the NPI registry since April 2022. The organization lists Chelsie Lisle, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1619611142
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTHEAST WISCONSIN SURGERY CENTER LLC
Location Address3801 WASHINGTON AVERacine, WI 53405-2853
Mailing Address3801 Washington AveRacine, WI 53405-2853 · (402) 631-8892
Organization SubpartNo
Authorized OfficialChelsie LisleCo-owner · (402) 631-8892
Enumeration DateApril 21, 2022
Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1619611142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3801 WASHINGTON AVE, Racine, WI 53405

Other Identifiers 2

Medicaid1043820442WI
Medicaid1447319496WI

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Dental)
3801 WASHINGTON AVE
RACINE, WI 53405
Dentist (General Practice)
3801 WASHINGTON AVE
RACINE, WI 53405
Nurse Anesthetist, Certified Registered
3801 WASHINGTON AVE
RACINE, WI 53405

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 Southeast Wisconsin Surgery Center LLC's NPI number?

The NPI number for Southeast Wisconsin Surgery Center LLC is 1619611142. It was assigned to this organization in the NPPES registry on April 21, 2022.

Where is Southeast Wisconsin Surgery Center LLC located?

Southeast Wisconsin Surgery Center LLC is located at 3801 Washington Ave, Racine, WI 53405. The listed phone number is (414) 949-1938.

What is Southeast Wisconsin Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

What insurance does Southeast Wisconsin Surgery Center LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Southeast Wisconsin Surgery Center 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 Southeast Wisconsin Surgery Center LLC was last updated on August 28, 2023. 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.