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NPI 1891029112ActiveOrganization· Skilled Nursing Facility· Wausau, WI

Skilled Nursing Facility in Wausau, Wisconsin, registered in NPPES in September 2009. The authorized official on file is Stacy Shubert, OTR, Otr.

Overview

NPI1891029112
StatusActive
Entity typeOrganization
NPI issuedSep 21, 2009
Last updated in NPPESSep 21, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X4721027WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other skilled nursing facilities in Wausau

All 19 skilled nursing facilities in Wausau · All skilled nursing facilities in Wisconsin