OrganizationActive
Proactive MD Wi Sc
NPI 1932935962 · Primary Care Clinic/Center · Waukesha, WI
Proactive MD Wi Sc is a Primary Care Clinic/Center organization in Waukesha, WI (NPI 1932935962).
Provider details
- NPI number
- 1932935962
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jody Addair, Clinical Ops Project Coordinator(317) 556-0017
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
20611 Watertown Rd Ste C
Waukesha, WI 53186-1871
Phone: (864) 501-0751
Street-level locationGet directions
Mailing address
124 Allawood Ct
Simpsonville, SC 29681-6207
Other names (DBA / former)
- Doing business as
- Proactive MD Family Health Center
Registry dates
- Enumerated
- 2024-09-09
- Last updated
- 2024-09-09
- Certified
- 2024-09-08
Frequently asked questions
- What is Proactive MD Wi Sc's NPI number?
- Proactive MD Wi Sc's National Provider Identifier (NPI) is 1932935962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proactive MD Wi Sc?
- Proactive MD Wi Sc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Proactive MD Wi Sc located?
- Proactive MD Wi Sc's practice location on file with NPPES is 20611 Watertown Rd Ste C, Waukesha, WI 53186-1871.
- What is Proactive MD Wi Sc's phone number?
- The practice phone number listed in the NPPES registry for Proactive MD Wi Sc is (864) 501-0751.
- Who is the authorized official for Proactive MD Wi Sc?
- The authorized official listed on Proactive MD Wi Sc's NPPES record is Jody Addair, Clinical Ops Project Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proactive MD Wi Sc's NPI active?
- Yes — Proactive MD Wi Sc's NPI (1932935962) is active in the NPPES registry as of the last update on 2024-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.