Menominee Indian Tribe of Wisconsin
NPI 1568404721 · Family Medicine Physician · Keshena, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Menominee Indian Tribe of Wisconsin is a Family Medicine Physician organization in Keshena, WI (NPI 1568404721).
Provider details
- NPI number
- 1568404721
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerry Waukau, Health Administrator(715) 799-3361
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
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)
- Doing business as
- Menominee Tribal Clinic
- Doing business as
- Menominee Tribal Clinic
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2019-04-02
Frequently asked questions
- What is Menominee Indian Tribe of Wisconsin's NPI number?
- Menominee Indian Tribe of Wisconsin's National Provider Identifier (NPI) is 1568404721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Menominee Indian Tribe of Wisconsin?
- Menominee Indian Tribe of Wisconsin is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Menominee Indian Tribe of Wisconsin located?
- Menominee Indian Tribe of Wisconsin's practice location on file with NPPES is W3275 Wolf River Road, Keshena, WI 54135.
- What is Menominee Indian Tribe of Wisconsin's phone number?
- The practice phone number listed in the NPPES registry for Menominee Indian Tribe of Wisconsin is (715) 799-3361.
- Does Menominee Indian Tribe of Wisconsin accept Medicare?
- Menominee Indian Tribe of Wisconsin 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 Menominee Indian Tribe of Wisconsin?
- The authorized official listed on Menominee Indian Tribe of Wisconsin's NPPES record is Jerry Waukau, Health Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Menominee Indian Tribe of Wisconsin's NPI active?
- Yes — Menominee Indian Tribe of Wisconsin's NPI (1568404721) is active in the NPPES registry as of the last update on 2019-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.