State of Wisconsin
NPI 1235225616 · Intellectual Disabilities Intermediate Care Facility · Chippewa Falls, WI
State of Wisconsin is a Intellectual Disabilities Intermediate Care Facility organization in Chippewa Falls, WI (NPI 1235225616).
Provider details
- NPI number
- 1235225616
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Craig Koehler, Director(715) 723-5542
- License
- 2753 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
- Northern Wisconsin Center Excel
- Doing business as
- Northern Wisconsin Center Excel
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2025-04-30
- Certified
- 2021-10-19
Frequently asked questions
- What is State of Wisconsin's NPI number?
- State of Wisconsin's National Provider Identifier (NPI) is 1235225616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of Wisconsin?
- State of Wisconsin is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is State of Wisconsin located?
- State of Wisconsin's practice location on file with NPPES is 2820 East Park Avenue, Chippewa Falls, WI 54729-0340.
- What is State of Wisconsin's phone number?
- The practice phone number listed in the NPPES registry for State of Wisconsin is (715) 723-7957.
- Who is the authorized official for State of Wisconsin?
- The authorized official listed on State of Wisconsin's NPPES record is Craig Koehler, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of Wisconsin's NPI active?
- Yes — State of Wisconsin's NPI (1235225616) is active in the NPPES registry as of the last update on 2025-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.