Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PPM WISCONSIN LLC
NPI 1811601776
Clinic/Center - Multi-Specialty in Germantown, WI

Active since January 05, 2023
W175N11117 STONEWOOD DR STE 100, GERMANTOWN, WI 53022(888) 253-6598 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2026, Jun 6, 2025, Jan 5, 2023 (3 updates tracked since 2023).

About Ppm Wisconsin Llc NPPES

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

PPM WISCONSIN LLC (NPI 1811601776) is a healthcare organization registered as a multi-specialty in Germantown, Wisconsin and active in the NPI registry since January 2023. The organization lists Amber L Tueller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1811601776
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePPM WISCONSIN LLC
Location AddressW175N11117 STONEWOOD DR STE 100Germantown, WI 53022-6505
Mailing AddressW175n11117 Stonewood Dr Ste 100Germantown, WI 53022-6505 · (888) 253-6598
Organization SubpartNo
Authorized OfficialAmber L TuellerSecretary · (208) 207-2726
Enumeration DateJanuary 5, 2023
Last NPPES UpdateOctober 12, 20263 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1811601776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
W175N11117 STONEWOOD DR STE 100, Germantown, WI 53022

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)

Ppm Wisconsin Llc 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 Ppm Wisconsin LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1952079568
13111 N PORT WASHINGTON RD
Mequon, WI 53097
(262) 243-7300
✔ PECOS✔ Accepts Medicare10 mi
Internal Medicine
NPI 1699783894
2741 W LAYTON AVE STE 201
Milwaukee, WI 53221
(414) 672-8050
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1275471278
615 S 8TH ST STE 210
Sheboygan, WI 53081
(920) 718-5782
✔ PECOS✔ Accepts Medicare42 mi

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 Ppm Wisconsin LLC's NPI number?

The NPI number for Ppm Wisconsin LLC is 1811601776. It was assigned to this organization in the NPPES registry on January 5, 2023.

Where is Ppm Wisconsin LLC located?

Ppm Wisconsin LLC is located at W175n11117 Stonewood Dr Ste 100, Germantown, WI 53022. The listed phone number is (888) 253-6598.

What is Ppm Wisconsin LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Ppm Wisconsin LLC enrolled in Medicare?

Yes. Ppm Wisconsin LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ppm Wisconsin LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ppm Wisconsin LLC, in Internal Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ppm Wisconsin LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Ppm Wisconsin 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 Ppm Wisconsin LLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.