OrganizationActive
Prevea
NPI 1417300518 · Primary Care Clinic/Center · Sheboygan, WI
Provider details
- NPI number
- 1417300518
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ashok Rai, President / Ceo(920) 496-4700
- License
- 149367 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1411 N Taylor Dr
Sheboygan, WI 53081-3043
Phone: (920) 803-1598
Street-level locationGet directions
Mailing address
Po Box 13008
Green Bay, WI 54307-3008
Other names (DBA / former)
- Doing business as
- Prevea Sheboygan
- Doing business as
- Prevea Sheboygan
Registry dates
- Enumerated
- 2016-07-13
- Last updated
- 2022-01-12
- Certified
- 2022-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.