WISCONSIN SPINE AND PAIN SC
NPI 1790309276
Pain Medicine - Interventional Pain Medicine in Sheboygan, WI
About Wisconsin Spine And Pain Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WISCONSIN SPINE AND PAIN SC (NPI 1790309276) is a healthcare organization registered as an interventional pain medicine in Sheboygan, Wisconsin and active in the NPI registry since June 2020. The organization lists Michael W Jung, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Wisconsin Spine And Pain Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Wisconsin Spine And Pain Sc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 31Sheboygan, WI 53081
Sheboygan, WI 53081
Sheboygan, WI 53081
Sheboygan, WI 53081
Source: 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 Wisconsin Spine And Pain Sc's NPI number?
The NPI number for Wisconsin Spine And Pain Sc is 1790309276. It was assigned to this organization in the NPPES registry on June 1, 2020.
Where is Wisconsin Spine And Pain Sc located?
Wisconsin Spine And Pain Sc is located at 2124 Kohler Memorial Dr Ste 110, Sheboygan, WI 53081. The listed phone number is (920) 204-6758.
What is Wisconsin Spine And Pain Sc's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Wisconsin Spine And Pain Sc enrolled in Medicare?
Yes. Wisconsin Spine And Pain Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wisconsin Spine And Pain Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 3 Medicare specialties reassign their Medicare billing to Wisconsin Spine And Pain Sc. 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 (14), Certified Registered Nurse Anesthetist (CRNA) (12) and Pain Management (5). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wisconsin Spine And Pain Sc accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 2 other insurers list Wisconsin Spine And Pain Sc 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 Wisconsin Spine And Pain Sc was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Wisconsin Spine And Pain Sc · NPI 1790309276
Interventional Pain Medicine organization in Sheboygan, Wisconsin. Organization record, active in the CMS NPPES registry since June 1, 2020.
## Identity
- **NPI:** 1790309276 (Entity type: Organization)
- **Enumerated:** June 1, 2020
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Michael Jung, OWNER
## Practice location
- **Address:** 2124 KOHLER MEMORIAL DR STE 110, Sheboygan, WI 53081-3174
- **Phone:** (920) 204-6758
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 31 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Certified Registered Nurse Anesthetist (CRNA) (12), Pain Management (5); 4 practice at this address; [full list](https://npiprofile.com/npi/1790309276/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790309276) · Data from the CMS NPPES public registry.