Mind Neurology Wisconsin Sc
NPI 1073242194 · Medical Specialty Clinic/Center · Mequon, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mind Neurology Wisconsin Sc is a Medical Specialty Clinic/Center organization in Mequon, WI (NPI 1073242194).
Provider details
- NPI number
- 1073242194
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Hart, Chief Operating Officer(414) 430-0069
Specialties & taxonomies
Ambulatory Health Care Facilities
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1725 N Casaloma DrAppleton, WI 54913-7916Phone: (888) 585-7975Fax: (833) 687-1434
Registry dates
- Enumerated
- 2022-06-06
- Last updated
- 2024-08-19
- Certified
- 2024-08-19
Frequently asked questions
- What is Mind Neurology Wisconsin Sc's NPI number?
- Mind Neurology Wisconsin Sc's National Provider Identifier (NPI) is 1073242194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mind Neurology Wisconsin Sc?
- Mind Neurology Wisconsin Sc is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mind Neurology Wisconsin Sc located?
- Mind Neurology Wisconsin Sc's practice location on file with NPPES is 12200 Corporate Pkwy Ste 400, Mequon, WI 53092-3300.
- What is Mind Neurology Wisconsin Sc's phone number?
- The practice phone number listed in the NPPES registry for Mind Neurology Wisconsin Sc is (414) 430-0069.
- Does Mind Neurology Wisconsin Sc accept Medicare?
- Mind Neurology Wisconsin Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mind Neurology Wisconsin Sc?
- The authorized official listed on Mind Neurology Wisconsin Sc's NPPES record is Jacob Hart, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mind Neurology Wisconsin Sc's NPI active?
- Yes — Mind Neurology Wisconsin Sc's NPI (1073242194) is active in the NPPES registry as of the last update on 2024-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.