AFFILIATED CLINICAL SERVICES INC
NPI 1851473698
Clinic/Center - Multi-Specialty in West Bend, WI
About Affiliated Clinical Services Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AFFILIATED CLINICAL SERVICES INC (NPI 1851473698) is a healthcare organization registered as a multi-specialty in West Bend, Wisconsin and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Kelli Feucht, Assistant Business Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Affiliated Clinical Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
32Medicare enrollment records show 32 clinicians reassign Medicare billing to Affiliated Clinical Services Inc, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 32West Bend, WI 53095
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 of Waiver 52D2019162
Affiliated Clinical Services · West Bend, WIFrequently 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 Affiliated Clinical Services Inc's NPI number?
The NPI number for Affiliated Clinical Services Inc is 1851473698. It was assigned to this organization in the NPPES registry on October 20, 2006.
Where is Affiliated Clinical Services Inc located?
Affiliated Clinical Services Inc is located at 111 E Washington St, West Bend, WI 53095. The listed phone number is (262) 338-2717.
What is Affiliated Clinical Services Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Affiliated Clinical Services Inc enrolled in Medicare?
Yes. Affiliated Clinical Services Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Affiliated Clinical Services Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 6 Medicare specialties reassign their Medicare billing to Affiliated Clinical Services Inc. 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 Mental Health Counselor (13), Clinical Social Worker (8) and Nurse Practitioner (5). Of these, 13 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Affiliated Clinical Services Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2019162) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Affiliated Clinical Services Inc accept?
Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Affiliated Clinical Services Inc 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 Affiliated Clinical Services Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Affiliated Clinical Services Inc · NPI 1851473698
Multi-Specialty organization in West Bend, Wisconsin. Organization record, active in the CMS NPPES registry since October 20, 2006.
## Identity
- **NPI:** 1851473698 (Entity type: Organization)
- **Enumerated:** October 20, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Kelli Feucht, ASSISTANT BUSINESS MANAGER
## Practice location
- **Address:** 111 E WASHINGTON ST, West Bend, WI 53095-2571
- **Phone:** (262) 338-2717 · **Fax:** (262) 338-9767
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 32 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (13), Clinical Social Worker (8), Nurse Practitioner (5); 13 practice at this address and 19 within 10 miles; [full list](https://npiprofile.com/npi/1851473698/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851473698) · Data from the CMS NPPES public registry.