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STATE MEDICAID
NPI 1891898219
Preferred Provider Organization in Sun Prairie, WI

Active since September 07, 2006
824 LOTHE ST, SUN PRAIRIE, WI 53590(608) 334-0900 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About State Medicaid NPPES

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

STATE MEDICAID (NPI 1891898219) is a healthcare organization registered as a preferred provider organization in Sun Prairie, Wisconsin and active in the NPI registry since September 2006. The organization lists Janice Remus, Case Manager, as its authorized official.

NPPES Registry Identity

NPI1891898219
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameSTATE MEDICAID
Location Address824 LOTHE STSun Prairie, WI 53590-2710
Mailing Address824 Lothe StSun Prairie, WI 53590-2710 · (608) 334-0900
Phone(608) 334-0900
Organization SubpartNo
Authorized OfficialJanice RemusCase Manager · (608) 848-7745
Enumeration DateSeptember 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891898219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
824 LOTHE ST, Sun Prairie, WI 53590
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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 State Medicaid's NPI number?

The NPI number for State Medicaid is 1891898219. It was assigned to this organization in the NPPES registry on September 7, 2006.

Where is State Medicaid located?

State Medicaid is located at 824 Lothe St, Sun Prairie, WI 53590. The listed phone number is (608) 334-0900.

What is State Medicaid's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for State Medicaid was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.