KENOSHA COMMUNITY HEALTH CENTER, INC
NPI 1710635677
Clinic/Center - Federally Qualified Health Center (FQHC) in Kenosha, WI
About Kenosha Community Health Center, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENOSHA COMMUNITY HEALTH CENTER, INC (NPI 1710635677), doing business as Pillar Health, is a healthcare organization registered as a federally qualified health center (fqhc) in Kenosha, Wisconsin and active in the NPI registry since March 2022. The organization lists John William Stampfl, Controller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Kenosha Community Health Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Kenosha Community Health Center, Inc, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 24Source: 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 Kenosha Community Health Center, Inc's NPI number?
The NPI number for Kenosha Community Health Center, Inc is 1710635677. It was assigned to this organization in the NPPES registry on March 10, 2022. The provider is doing business as Pillar Health.
Where is Kenosha Community Health Center, Inc located?
Kenosha Community Health Center, Inc is located at 4006 Washington Rd, Kenosha, WI 53144. The listed phone number is (262) 656-0044.
What is Kenosha Community Health Center, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Kenosha Community Health Center, Inc enrolled in Medicare?
Yes. Kenosha Community Health Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kenosha Community Health Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 9 Medicare specialties reassign their Medicare billing to Kenosha Community Health Center, Inc. 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 Nurse Practitioner (10), Clinical Social Worker (3) and Mental Health Counselor (3). Of these, 9 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kenosha Community Health Center, Inc accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Kenosha Community Health Center, Inc 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 Kenosha Community Health Center, Inc was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kenosha Community Health Center, Inc · NPI 1710635677
Federally Qualified Health Center (FQHC) organization in Kenosha, Wisconsin. Organization record, active in the CMS NPPES registry since March 10, 2022.
## Identity
- **NPI:** 1710635677 (Entity type: Organization)
- **Enumerated:** March 10, 2022
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Pillar Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** John Stampfl, CONTROLLER
## Practice location
- **Address:** 4006 WASHINGTON RD, Kenosha, WI 53144-4819
- **Phone:** (262) 656-0044
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Clinical Social Worker (3), Mental Health Counselor (3); 9 practice at this address and 22 within 10 miles; [full list](https://npiprofile.com/npi/1710635677/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1710635677) · Data from the CMS NPPES public registry.