THREE OAKS HEALTH S.C.
NPI 1760931026
Family Medicine in Johnson Creek, WI

Active since September 28, 2016CLIA 52D2123975 · Microscopy
480 VILLAGE WALK LN STE F, JOHNSON CREEK, WI 53038(920) 542-3010 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2017, Sep 30, 2016 (2 updates tracked since 2016).

About Three Oaks Health S.c. NPPES

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

THREE OAKS HEALTH S.C. (NPI 1760931026) is a healthcare organization registered as a family medicine in Johnson Creek, Wisconsin and active in the NPI registry since September 2016. The organization holds a CLIA Microscopy certificate valid through January 5, 2027 and lists James Milford, Provider, as its authorized official.

NPPES Registry Identity

NPI1760931026
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHREE OAKS HEALTH S.C.
Location Address480 VILLAGE WALK LN STE FJohnson Creek, WI 53038-9540
Mailing Address480 Village Walk Ln Ste FJohnson Creek, WI 53038-9540 · (920) 542-3010 · Fax (920) 699-9699
Organization SubpartNo
Authorized OfficialJames MilfordProvider · (262) 337-1068
Enumeration DateSeptember 28, 2016
Last NPPES UpdateJanuary 11, 20172 updates tracked since enumeration
✔ NPI 1760931026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
480 VILLAGE WALK LN STE F, Johnson Creek, WI 53038

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

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)

Three Oaks Health S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Three Oaks Health S.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1548237076
480 VILLAGE WALK LN
Johnson Creek, WI 53038
(920) 542-3010
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457798340
480 VILLAGE WALK LN
Johnson Creek, WI 53038
(920) 542-3010
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619425741
125 HOSPITAL DR
Watertown, WI 53098
(920) 262-4449
✔ PECOS✔ Accepts Medicare8.8 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 52D2123975

Three Oaks Health · Johnson Creek, WI
Active · expires Jan 5, 2027
CLIA Number52D2123975
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorDr. James A. Milford
Laboratory Phone(920) 542-3010
Laboratory LocationThree Oaks Health5 Hartwig Dr, Johnson Creek, WI 53038
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Three Oaks Health S.C.'s NPI number?

The NPI number for Three Oaks Health S.C. is 1760931026. It was assigned to this organization in the NPPES registry on September 28, 2016.

Where is Three Oaks Health S.C. located?

Three Oaks Health S.C. is located at 480 Village Walk Ln Ste F, Johnson Creek, WI 53038. The listed phone number is (920) 542-3010.

What is Three Oaks Health S.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Three Oaks Health S.C. enrolled in Medicare?

Yes. Three Oaks Health S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Three Oaks Health S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Three Oaks Health S.C., in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Three Oaks Health S.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 52D2123975) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Three Oaks Health S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, MercyCare and MercyCare Health Plans and 2 other insurers list Three Oaks Health S.C. 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 Three Oaks Health S.C. was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.