Archwell Health Professional Services of Wisconsin, SC
NPI 1164228797ActiveOrganization· Internal Medicine· Milwaukee, WI
Internal Medicine in Milwaukee, Wisconsin, registered in NPPES in February 2025. The authorized official on file is Amy Moddesette, Sr. Director, Managed Care Ops. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164228797 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 24, 2025 |
| Last updated in NPPES | Feb 3, 2026 |
| Certified by provider | Feb 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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