Waukesha County
NPI 1740403146ActiveOrganization· Case Management· Waukesha, WI
Case Management in Waukesha, Wisconsin, registered in NPPES in April 2007. The authorized official on file is David M. Derosier, Credentialing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740403146 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2007 |
| Last updated in NPPES | Nov 10, 2025 |
| Certified by provider | Nov 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Management Primary | 251B00000X | 4307700 | WI |
| Public Health or Welfare | 251K00000X | 80259 | WI |
| Community/Behavioral Health | 251S00000X | 32976100 | WI |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | 42138400 | WI |
| Psychiatric Unit | 273R00000X | 10063300 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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