Fort Healthcare Inc
NPI 1417993361 · Counselor · Fort Atkinson, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fort Healthcare Inc is a Counselor organization in Fort Atkinson, WI (NPI 1417993361).
Provider details
- NPI number
- 1417993361
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Shelby Walling, Credentialing Specialist(920) 563-4466
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Optometrist152W00000X
Eye and Vision Services Providers
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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)
- Former legal business name
- Fort Atkinson Memorial Health Services
- Former legal business name
- Fort Atkinson Memorial Health Services
Registry dates
- Enumerated
- 2006-06-21
- Last updated
- 2022-10-07
- Certified
- 2022-10-07
Frequently asked questions
- What is Fort Healthcare Inc's NPI number?
- Fort Healthcare Inc's National Provider Identifier (NPI) is 1417993361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Healthcare Inc?
- Fort Healthcare Inc is classified in the NPPES registry as Counselor (Behavioral Health & Social Service Providers).
- Where is Fort Healthcare Inc located?
- Fort Healthcare Inc's practice location on file with NPPES is 611 Sherman Ave E, Fort Atkinson, WI 53538-1960.
- What is Fort Healthcare Inc's phone number?
- The practice phone number listed in the NPPES registry for Fort Healthcare Inc is (920) 568-6580.
- Does Fort Healthcare Inc accept Medicare?
- Fort Healthcare Inc 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 Fort Healthcare Inc?
- The authorized official listed on Fort Healthcare Inc's NPPES record is Shelby Walling, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Healthcare Inc's NPI active?
- Yes — Fort Healthcare Inc's NPI (1417993361) is active in the NPPES registry as of the last update on 2022-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.