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WISCONSIN RESOURCE CENTER
NPI 1669142949
Nurse Practitioner - Family in Winnebago, WI

Active since September 17, 2021CLIA 52D1048964 · Waiver
1505 NORTH DRIVE, WINNEBAGO, WI 54985(920) 426-4310 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Wisconsin Resource Center NPPES

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

WISCONSIN RESOURCE CENTER (NPI 1669142949) is a healthcare organization registered as a family in Winnebago, Wisconsin and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through December 15, 2027 and lists Karin Zodrow, Apnp, as its authorized official.

NPPES Registry Identity

NPI1669142949
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWISCONSIN RESOURCE CENTER
Location Address1505 NORTH DRIVEWinnebago, WI 54985-0016
Mailing Address1470 Fairfax StOshkosh, WI 54904-7441 · (920) 379-1250
Phone(920) 426-4310
Organization SubpartNo
Authorized OfficialKarin ZodrowApnp · (920) 426-4310
Enumeration DateSeptember 17, 2021
NPPES CertifiedSeptember 1, 2021
✔ NPI 1669142949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1505 NORTH DRIVE, Winnebago, WI 54985
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 52D1048964

Wisconsin Resource Center · Winnebago, WI
Active · expires Dec 15, 2027
CLIA Number52D1048964
Laboratory TypeOther
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorDr. Thomas J. Michlowski
Laboratory Phone(920) 426-4310
Laboratory LocationWisconsin Resource Center1505 North Dr PO Box 16, Winnebago, WI 54985
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 6

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

JEREMIAH MOBISA GWARO APNP
Nurse Practitioner (Family)
1505 NORTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 426-4310
JULIE ANN THIEL BS PHARM, BCPP
Pharmacist (Psychiatric)
1505 NORTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
DEANNA LYNN KAPITZKE APNP
Registered Nurse (Psychiatric/Mental Health, Adult)
1505 NORTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 426-4310
CARLO GALLO GAANAN MD
Family Medicine
1505 NORTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 426-4310
MRS. RANEE MAREE WRIGHT APNP
Nurse Practitioner (Psychiatric/Mental Health)
1505 NORTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 426-4310
DR. THOMAS MICHLOWSKI
Psychiatry & Neurology (Neurology)
1505 NORTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 426-4310

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 Wisconsin Resource Center's NPI number?

The NPI number for Wisconsin Resource Center is 1669142949. It was assigned to this organization in the NPPES registry on September 17, 2021.

Where is Wisconsin Resource Center located?

Wisconsin Resource Center is located at 1505 North Drive, Winnebago, WI 54985. The listed phone number is (920) 426-4310.

What is Wisconsin Resource Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Wisconsin Resource Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D1048964) is associated with this NPI, valid through December 15, 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 Wisconsin Resource Center was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.