NOVA INTEGRATED CARE LLC
NPI 1679355358
Clinic/Center in Eagle River, WI
About Nova Integrated Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOVA INTEGRATED CARE LLC (NPI 1679355358) is a healthcare organization registered as a clinic/center in Eagle River, Wisconsin and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through April 8, 2027 and lists Jill Brunstad, Owner/physician Assistant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Nova Integrated Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nova Integrated Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 52D2321775
Nova Integrated Care · Eagle River, WIFrequently 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 Nova Integrated Care LLC's NPI number?
The NPI number for Nova Integrated Care LLC is 1679355358. It was assigned to this organization in the NPPES registry on October 18, 2023.
Where is Nova Integrated Care LLC located?
Nova Integrated Care LLC is located at 302 W Pine St Ste 2, Eagle River, WI 54521. The listed phone number is (715) 891-0088.
What is Nova Integrated Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Nova Integrated Care LLC enrolled in Medicare?
Yes. Nova Integrated Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nova Integrated Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Nova Integrated Care LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Nova Integrated Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2321775) is associated with this NPI, valid through April 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Nova Integrated Care LLC accept?
Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Nova Integrated Care 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 Nova Integrated Care LLC was last updated on October 18, 2023. 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.
# Nova Integrated Care Llc · NPI 1679355358
Clinic/Center organization in Eagle River, Wisconsin. Organization record, active in the CMS NPPES registry since October 18, 2023.
## Identity
- **NPI:** 1679355358 (Entity type: Organization)
- **Enumerated:** October 18, 2023
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Jill Brunstad, OWNER/PHYSICIAN ASSISTANT
## Practice location
- **Address:** 302 W PINE ST STE 2, Eagle River, WI 54521-9349
- **Phone:** (715) 891-0088
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1679355358) · Data from the CMS NPPES public registry.