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SSM HEALTH DEAN MEDICAL GROUP - PORTAGE
NPI 1760593545
Durable Medical Equipment & Medical Supplies in Portage, WI

Active since August 31, 2006CLIA 52D0393950 · Certificate of Compliance
2825 HUNTERS TRL, 2ND FLOOR, PORTAGE, WI 53901(608) 742-1063(608) 745-3750 Get Directions Write a Review

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

Record update history: Aug 3, 2020, May 23, 2018 (2 updates tracked since 2018).

About Ssm Health Dean Medical Group - Portage NPPES

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

SSM HEALTH DEAN MEDICAL GROUP - PORTAGE (NPI 1760593545) is a healthcare organization registered as a durable medical equipment & medical supplies in Portage, Wisconsin and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 19, 2027 and lists Amy J Grinnell, Vice President - Finance, as its authorized official.

NPPES Registry Identity

NPI1760593545
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDEAN HEALTH SYSTEMS, INC
Location Address2825 HUNTERS TRL, 2ND FLOORPortage, WI 53901
Mailing Address2825 Hunters Trl, 2nd FloorPortage, WI 53901-3429 · (608) 742-1063 · Fax (608) 745-3750
Phone(608) 742-1063
Fax(608) 745-3750
Organization SubpartNo
Authorized OfficialAmy J GrinnellVice President - Finance · (608) 260-3586
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
✔ NPI 1760593545 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.
2825 HUNTERS TRL, Portage, WI 53901
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Other Names 1

Doing Business AsSsm Health Dean Medical Group - Portage

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 52D0393950

Ssm Health Dean Medical Group -Portage · Portage, WI
Active · expires May 19, 2027
CLIA Number52D0393950
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorJeffrey J. Maxwell
Laboratory Phone(608) 356-1492
Laboratory LocationSsm Health Dean Medical Group -Portage2825 Hunters Trail, Portage, WI 53901
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Medical Equipment Supplier Medicare DMEPOS 21

Medicare supplier enrollment and the product categories Ssm Health Dean Medical Group Speci carries, from the Medicare DMEPOS supplier directory.

Ssm Health Dean Medical Group Speci

DMEPOS supplier · Portage, WIOperated by Dean Health Systems Inc
✔

Accepts Medicare assignment

Ssm Health Dean Medical Group Speci agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20658533
Medicare Participant SinceJanuary 1, 1998
Supplier Location2825 Hunters Trl 2nd FloorPortage, WI 53901
Phone(608) 742-1063
Provider TypeMulti-Specialty - Physician
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

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

ANDREA J LANGAN APNP
Nurse Practitioner
2825 HUNTERS TRL
PORTAGE, WI 53901
Columbia County (608) 742-7161
KATHLEEN DOYLE MD
Pediatrics
2825 HUNTERS TRL, 1ST FLOOR
PORTAGE, WI 53901
Columbia County (608) 742-7161
MADELEINE M HACKER OD
Optometrist
2825 HUNTERS TRL
PORTAGE, WI 53901
Columbia County (608) 742-5522
GERALD L KRUMPOS MD
Family Medicine
2825 HUNTERS TRL
PORTAGE, WI 53901
Columbia County (608) 742-7161
DARRELL R PARKER PA-C
Physician Assistant
2825 HUNTERS TRL, 1ST FLOOR
PORTAGE, WI 53901
Columbia County (608) 742-7161
DR. SARAH M HAROLDSON MD
Family Medicine
2825 HUNTERS TRL
PORTAGE, WI 53901
Columbia County (608) 742-7161
DARCY L STEINHORST PA-C
Physician Assistant
2825 HUNTERS TRL
PORTAGE, WI 53901
Columbia County (608) 742-7161
DAVID D GREGORY MD
Family Medicine
2825 HUNTERS TRL
PORTAGE, WI 53901
Columbia County (608) 724-7161

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 1760593545. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Ssm Health Dean Medical Group - Portage.

Where is Dean Health Systems, Inc located?

Dean Health Systems, Inc is located at 2825 Hunters Trl 2nd Floor, Portage, WI 53901. The listed phone number is (608) 742-1063.

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 accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Ssm Health Dean Medical Group Speci accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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

Yes. A Certificate of Compliance (number 52D0393950) is associated with this NPI, valid through May 19, 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.