Spine Capital Wisconsin LLC
NPI 1104621044 · Neurological Surgery Physician · Appleton, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spine Capital Wisconsin LLC is a Neurological Surgery Physician organization in Appleton, WI (NPI 1104621044).
Provider details
- NPI number
- 1104621044
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Koffie, Ceo(812) 756-8888
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2025-02-14
- Last updated
- 2025-12-23
- Certified
- 2025-12-23
Frequently asked questions
- What is Spine Capital Wisconsin LLC's NPI number?
- Spine Capital Wisconsin LLC's National Provider Identifier (NPI) is 1104621044, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spine Capital Wisconsin LLC?
- Spine Capital Wisconsin LLC is classified in the NPPES registry as Neurological Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Spine Capital Wisconsin LLC located?
- Spine Capital Wisconsin LLC's practice location on file with NPPES is 2105 E Enterprise Ave Fl 2, Appleton, WI 54913-7862.
- What is Spine Capital Wisconsin LLC's phone number?
- The practice phone number listed in the NPPES registry for Spine Capital Wisconsin LLC is (920) 333-8878.
- Does Spine Capital Wisconsin LLC accept Medicare?
- Spine Capital Wisconsin LLC 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 Spine Capital Wisconsin LLC?
- The authorized official listed on Spine Capital Wisconsin LLC's NPPES record is Robert Koffie, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spine Capital Wisconsin LLC's NPI active?
- Yes — Spine Capital Wisconsin LLC's NPI (1104621044) is active in the NPPES registry as of the last update on 2025-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.