SEQUOIA INTEGRATIVE MEDICAL SERVICES LLC
NPI 1790312171
Family Medicine - Geriatric Medicine in Kaukauna, WI
About Sequoia Integrative Medical Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEQUOIA INTEGRATIVE MEDICAL SERVICES LLC (NPI 1790312171) is a healthcare organization registered as a geriatric medicine in Kaukauna, Wisconsin and active in the NPI registry since March 2020. The organization lists Mary K Friess, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Identifiers 1
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)
Sequoia Integrative Medical Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Sequoia Integrative Medical Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 23Oshkosh, WI 54901
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 Sequoia Integrative Medical Services LLC's NPI number?
The NPI number for Sequoia Integrative Medical Services LLC is 1790312171. It was assigned to this organization in the NPPES registry on March 25, 2020.
Where is Sequoia Integrative Medical Services LLC located?
Sequoia Integrative Medical Services LLC is located at 1746 Paul Dr, Kaukauna, WI 54130. The listed phone number is (920) 422-7402.
What is Sequoia Integrative Medical Services LLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Sequoia Integrative Medical Services LLC enrolled in Medicare?
Yes. Sequoia Integrative Medical Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sequoia Integrative Medical Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 3 Medicare specialties reassign their Medicare billing to Sequoia Integrative Medical Services 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. The largest specialties are Nurse Practitioner (21), Family Practice (1) and Psychiatry (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Sequoia Integrative Medical Services LLC accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Sequoia Integrative Medical Services 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 Sequoia Integrative Medical Services LLC was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Sequoia Integrative Medical Services Llc · NPI 1790312171
Geriatric Medicine organization in Kaukauna, Wisconsin. Organization record, active in the CMS NPPES registry since March 25, 2020.
## Identity
- **NPI:** 1790312171 (Entity type: Organization)
- **Enumerated:** March 25, 2020
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Mary Friess, PRESIDENT
## Practice location
- **Address:** 1746 PAUL DR, Kaukauna, WI 54130-3014
- **Phone:** (920) 422-7402
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Family Practice (1), Psychiatry (1); 2 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1790312171/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2026
- **Other identifiers:** Medicaid 36015700 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1790312171) · Data from the CMS NPPES public registry.