OrganizationActive
Innovative Wisconsin, LLC
NPI 1871972349 · Community/Behavioral Health Agency · Green Bay, WI
Innovative Wisconsin, LLC is a Community/Behavioral Health Agency organization in Green Bay, WI (NPI 1871972349).
Provider details
- NPI number
- 1871972349
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Innovative Services, Inc.
- Organization subpart
- Yes
- Authorized official
- Drue Ray, Officer(828) 684-8441
Specialties & taxonomies
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
445 S Madison St
Green Bay, WI 54301-4101
Phone: (920) 431-0962
Fax: (920) 884-1967
Street-level locationGet directions
Mailing address
445 S Madison St
Green Bay, WI 54301-4101
Registry dates
- Enumerated
- 2015-05-29
- Last updated
- 2015-05-29
Frequently asked questions
- What is Innovative Wisconsin, LLC's NPI number?
- Innovative Wisconsin, LLC's National Provider Identifier (NPI) is 1871972349, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Wisconsin, LLC?
- Innovative Wisconsin, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Innovative Wisconsin, LLC located?
- Innovative Wisconsin, LLC's practice location on file with NPPES is 445 S Madison St, Green Bay, WI 54301-4101.
- What is Innovative Wisconsin, LLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Wisconsin, LLC is (920) 431-0962.
- Who is the authorized official for Innovative Wisconsin, LLC?
- The authorized official listed on Innovative Wisconsin, LLC's NPPES record is Drue Ray, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Wisconsin, LLC's NPI active?
- Yes — Innovative Wisconsin, LLC's NPI (1871972349) is active in the NPPES registry as of the last update on 2015-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.