Archwell Health Professional Services of Wisconsin, Sc
NPI 1164228797 · Internal Medicine Physician · Milwaukee, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Archwell Health Professional Services of Wisconsin, Sc is a Internal Medicine Physician organization in Milwaukee, WI (NPI 1164228797).
Provider details
- NPI number
- 1164228797
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Moddesette, Sr. Director, Managed Care Ops(913) 226-8221
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
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
Other names (DBA / former)
- Doing business as
- Archwell Health
Registry dates
- Enumerated
- 2025-02-24
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Frequently asked questions
- What is Archwell Health Professional Services of Wisconsin, Sc's NPI number?
- Archwell Health Professional Services of Wisconsin, Sc's National Provider Identifier (NPI) is 1164228797, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Archwell Health Professional Services of Wisconsin, Sc?
- Archwell Health Professional Services of Wisconsin, Sc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Archwell Health Professional Services of Wisconsin, Sc located?
- Archwell Health Professional Services of Wisconsin, Sc's practice location on file with NPPES is 2730 N Martin Luther King Dr, Milwaukee, WI 53212-2312.
- What is Archwell Health Professional Services of Wisconsin, Sc's phone number?
- The practice phone number listed in the NPPES registry for Archwell Health Professional Services of Wisconsin, Sc is (414) 508-0002.
- Does Archwell Health Professional Services of Wisconsin, Sc accept Medicare?
- Archwell Health Professional Services of 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 Archwell Health Professional Services of Wisconsin, Sc?
- The authorized official listed on Archwell Health Professional Services of Wisconsin, Sc's NPPES record is Amy Moddesette, Sr. Director, Managed Care Ops. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Archwell Health Professional Services of Wisconsin, Sc's NPI active?
- Yes — Archwell Health Professional Services of Wisconsin, Sc's NPI (1164228797) is active in the NPPES registry as of the last update on 2026-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.