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SSM HEALTH DEAN MEDICAL GROUP - WAUNAKEE
NPI 1619984713
Durable Medical Equipment & Medical Supplies in Waunakee, WI

Active since August 02, 2006CLIA 52D0393253 · Certificate of Compliance
1300 S CENTURY AVE, WAUNAKEE, WI 53597(608) 849-4315(608) 850-1606 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ssm Health Dean Medical Group - Waunakee NPPES

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

SSM HEALTH DEAN MEDICAL GROUP - WAUNAKEE (NPI 1619984713) is a healthcare organization registered as a durable medical equipment & medical supplies in Waunakee, Wisconsin and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 14, 2027 and lists Amy J Grinnell, Vice President - Finance, as its authorized official.

NPPES Registry Identity

NPI1619984713
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDEAN HEALTH SYSTEMS, INC.
Location Address1300 S CENTURY AVEWaunakee, WI 53597
Mailing Address1300 S Century AveWaunakee, WI 53597 · (608) 849-4315 · Fax (608) 850-1606
Phone(608) 849-4315
Fax(608) 850-1606
Organization SubpartNo
Authorized OfficialAmy J GrinnellVice President - Finance · (608) 260-3586
Enumeration DateAugust 2, 2006
Last NPPES UpdateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
✔ NPI 1619984713 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.
1300 S CENTURY AVE, Waunakee, WI 53597
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Other Names 1

Doing Business AsSsm Health Dean Medical Group - Waunakee

Other Identifiers 1

Medicaid1053358846WI

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 Compliance 52D0393253

Ssm Health Dean Medical Group - Waunakee · Waunakee, WI
Active · expires Oct 14, 2027
CLIA Number52D0393253
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorMs. Sheri L. Roh-Bakken
Laboratory Phone(608) 850-1611
Laboratory LocationSsm Health Dean Medical Group - Waunakee1300 S Century Ave, Waunakee, WI 53597
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 17

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

MR. JOHN J BEATY P.T.
Physical Therapist
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Dane County (608) 849-4315
WILLIAM H RANUM MD
Family Medicine
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Dane County (608) 849-4315
DEAN RETAIL SERVICES, INC.
Technician/Technologist (Optician)
1300 S CENTURY AVE, SUITE 200
WAUNAKEE, WI 53597
Dane County (608) 849-4315
NOELLE K. DOWLING MD
Family Medicine
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Dane County (608) 849-4315
SUZANNE J DYNNESON APNP
Nurse Practitioner
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Dane County (608) 849-4315
MISS KELLY M WISCH NP
Nurse Practitioner
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Dane County (608) 849-4315
BARBARA J SCHLITTLER PA-C
Physician Assistant
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Dane County (608) 849-4315
CHRISTINE M DISCH APNP
Nurse Practitioner
1300 S CENTURY AVE
WAUNAKEE, WI 53597
Dane County (608) 849-4315

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 Dean Health Systems, Inc.'s NPI number?

The NPI number for Dean Health Systems, Inc. is 1619984713. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Ssm Health Dean Medical Group - Waunakee.

Where is Dean Health Systems, Inc. located?

Dean Health Systems, Inc. is located at 1300 S Century Ave, Waunakee, WI 53597. The listed phone number is (608) 849-4315.

What is Dean Health Systems, Inc.'s specialty?

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

Does Dean Health Systems, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 52D0393253) is associated with this NPI, valid through October 14, 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 Dean Health Systems, Inc. was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.