Wisconsin Spine and Pain Sc
NPI 1790309276 · Interventional Pain Medicine Physician · Sheboygan, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wisconsin Spine and Pain Sc is a Interventional Pain Medicine Physician organization in Sheboygan, WI (NPI 1790309276).
Provider details
- NPI number
- 1790309276
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Jung, Owner(414) 455-1153
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Registry dates
- Enumerated
- 2020-06-01
- Last updated
- 2024-09-27
- Certified
- 2024-09-26
Frequently asked questions
- What is Wisconsin Spine and Pain Sc's NPI number?
- Wisconsin Spine and Pain Sc's National Provider Identifier (NPI) is 1790309276, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wisconsin Spine and Pain Sc?
- Wisconsin Spine and Pain Sc is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wisconsin Spine and Pain Sc located?
- Wisconsin Spine and Pain Sc's practice location on file with NPPES is 2124 Kohler Memorial Dr Ste 110, Sheboygan, WI 53081-3174.
- What is Wisconsin Spine and Pain Sc's phone number?
- The practice phone number listed in the NPPES registry for Wisconsin Spine and Pain Sc is (920) 204-6758.
- Does Wisconsin Spine and Pain Sc accept Medicare?
- Wisconsin Spine and Pain 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 Wisconsin Spine and Pain Sc?
- The authorized official listed on Wisconsin Spine and Pain Sc's NPPES record is Michael Jung, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wisconsin Spine and Pain Sc's NPI active?
- Yes — Wisconsin Spine and Pain Sc's NPI (1790309276) is active in the NPPES registry as of the last update on 2024-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.