Menominee Indian Tribe of Wisconsin
NPI 1568404721ActiveOrganization· Family Medicine· Keshena, WI
Family Medicine in Keshena, Wisconsin, registered in NPPES in June 2006. The authorized official on file is Jerry L. Waukau, Health Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568404721 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 12, 2006 |
| Last updated in NPPES | Apr 2, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Federally Qualified Health Center (FQHC) | 261QF0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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