STOCKBRIDGE MUNSEE COMMUNITY
NPI 1629070180
Clinic/Center - Federally Qualified Health Center (FQHC) in Bowler, WI
About Stockbridge Munsee Community NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STOCKBRIDGE MUNSEE COMMUNITY (NPI 1629070180), doing business as Stockbridge Munsee Health & Wellness Ctr, is a healthcare organization registered as a federally qualified health center (fqhc) in Bowler, Wisconsin and active in the NPI registry since August 2005. The organization lists Wallace A. Miller, Tribal Chairman, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 5
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)
Stockbridge Munsee Community is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Stockbridge Munsee Community, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (12)
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 Stockbridge Munsee Community's NPI number?
The NPI number for Stockbridge Munsee Community is 1629070180. It was assigned to this organization in the NPPES registry on August 15, 2005. The provider is doing business as Stockbridge Munsee Health & Wellness Ctr.
Where is Stockbridge Munsee Community located?
Stockbridge Munsee Community is located at W12802 Cty Rd A, Bowler, WI 54416. The listed phone number is (715) 793-4144.
What is Stockbridge Munsee Community's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Stockbridge Munsee Community enrolled in Medicare?
Yes. Stockbridge Munsee Community is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stockbridge Munsee Community?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 6 Medicare specialties reassign their Medicare billing to Stockbridge Munsee Community. 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 Family Practice (4), Nurse Practitioner (3) and Chiropractic (2). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Stockbridge Munsee Community accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and CareSource (Common Ground Healthcare) list Stockbridge Munsee Community 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 Stockbridge Munsee Community was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Stockbridge Munsee Community · NPI 1629070180
Federally Qualified Health Center (FQHC) organization in Bowler, Wisconsin. Organization record, active in the CMS NPPES registry since August 15, 2005.
## Identity
- **NPI:** 1629070180 (Entity type: Organization)
- **Enumerated:** August 15, 2005
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Stockbridge Munsee Health & Wellness Ctr (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Wallace Miller, TRIBAL CHAIRMAN
## Practice location
- **Address:** W12802 CTY RD A, Bowler, WI 54416
- **Phone:** (715) 793-4144 · **Fax:** (715) 793-5028
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (4), Nurse Practitioner (3), Chiropractic (2); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2025
- **Other identifiers:** Medicaid 32955900 (WI); Medicaid 41730300 (WI); Medicaid 44008700 (WI); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1629070180) · Data from the CMS NPPES public registry.