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WELLBE WISCONSIN SC
NPI 1801622881
Internal Medicine in Marshfield, WI

Active since September 09, 2024CLIA 52D2321918 · Waiver
209 S CENTRAL AVE STE 300, MARSHFIELD, WI 54449(312) 776-2412 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Wellbe Wisconsin Sc NPPES

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

WELLBE WISCONSIN SC (NPI 1801622881) is a healthcare organization registered as an internal medicine in Marshfield, Wisconsin and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Jeffrey Kang, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801622881
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLBE WISCONSIN SC
Location Address209 S CENTRAL AVE STE 300Marshfield, WI 54449-2836
Mailing Address225 W Washington St Ste 1700Chicago, IL 60606-3404
Phone(312) 776-2412
Organization SubpartNo
Authorized OfficialJeffrey KangCeo · (312) 776-2412
Enumeration DateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
✔ NPI 1801622881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
209 S CENTRAL AVE STE 300, Marshfield, WI 54449
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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

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 Waiver 52D2321918

Wellbe Wisconsin Sc · Marshfield, WI
Active · expires Apr 10, 2027
CLIA Number52D2321918
Laboratory TypeHome Health Agency
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorDr. Katrina Booth
Laboratory Phone(312) 463-4903
Laboratory LocationWellbe Wisconsin Sc209 S Central Avenue, Suite 300, Marshfield, WI 54449
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

JESSICA M MARSHALL M.D.
Internal Medicine
209 S CENTRAL AVE STE 300
MARSHFIELD, WI 54449
Wood County (855) 513-9050
STACEY LYNN STEPHENS AGNP-C
Nurse Practitioner (Adult Health)
209 S CENTRAL AVE STE 300
MARSHFIELD, WI 54449
Wood County (614) 439-0203

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 Wellbe Wisconsin Sc's NPI number?

The NPI number for Wellbe Wisconsin Sc is 1801622881. It was assigned to this organization in the NPPES registry on September 9, 2024.

Where is Wellbe Wisconsin Sc located?

Wellbe Wisconsin Sc is located at 209 S Central Ave Ste 300, Marshfield, WI 54449. The listed phone number is (312) 776-2412.

What is Wellbe Wisconsin Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Wellbe Wisconsin Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2321918) is associated with this NPI, valid through April 10, 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 Wellbe Wisconsin Sc was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.