WATERTOWN MEDICAL CENTER LLC
NPI 1699954222
Medicare Defined Swing Bed Unit in Watertown, WI

NPI Status: Active since October 31, 2007

Contact Information

125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
Phone: (920) 261-4210

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  • Organization
  • Medicare Defined Swing Bed Unit
  • Accepts Insurance

About WATERTOWN MEDICAL CENTER LLC

This page provides the complete NPI Profile along with additional information for Watertown Medical Center Llc, a provider established in Watertown, Wisconsin operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1699954222 assigned on October 2007. The practitioner's primary taxonomy code is 275N00000X with license number 391030310 (WI). The provider is registered as an organization and their NPI record was last updated June 2025. The provider's . The authorized official of this NPI record is Johnetta Traylor (Ao)

NPI
1699954222
Provider Legal Name
WATERTOWN MEDICAL CENTER LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
125 HOSPITAL DR WATERTOWN, WI 53098
Location Phone
(920) 261-4210
Mailing Address
680 S 4TH ST LOUISVILLE, KY 40202
Mailing Phone
(502) 596-6063
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-31-2007
Last Update Date
06-25-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Medicare Defined Swing Bed Unit

Taxonomy Code
275N00000X
Type
Hospital Units
License No.
391030310
License State
WI
Taxonomy Description
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
  • CGHC Gold Standard $1500 - Envision Network - EPO
  • CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver Standard $5000 - Envision Network - EPO
  • CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO
  • Dean Bronze $0 Copay PCP Visits - HMO
  • Dean Bronze Share - HMO
  • Dean Catastrophic - HMO
  • Dean Expanded Bronze Standard - HMO
  • Dean Gold HSA - HMO
  • Dean Gold Share - HMO
  • Dean Gold Standard - HMO
  • Dean Silver $0 Copay PCP Visits - HMO
  • Dean Silver Share - HMO
  • Dean Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHNETTA TRAYLOR

Authorized Official Title
AO
Authorized Official Phone
(502) 596-6063

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
11015400MEDICAID (05)WI 

Reviews for WATERTOWN MEDICAL CENTER LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699954222
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189185824
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 8 + 5 + 8 + 2 + 4 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1699954222 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972505154WATERTOWN REGIONAL MEDICAL CENTER, INC
Organization
Home Health125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 261-4210
1396712469 JASON H LEE MD
Individual
Emergency Medicine125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 261-4210
1053356790WATERTOWN ANESTHESIOLOGY SC
Organization
Anesthesiology125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4450
1740395276WATERTOWN EMERGENCY PHYSICIANS
Organization
General Acute Care Hospital125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4462
1710088406WATERTOWN EMERGENCY PHYSICIANS, S.C.
Organization
Clinic/Center (Emergency Care)125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4222
1679632996WATERTOWN MEMORIAL HOSPITAL ASSOCIATION INC
Organization
Pharmacy (Institutional Pharmacy)125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4393
1932228483MR. JEFFERY ALLEN AUSSPRUNG ATC
Individual
Specialist/Technologist (Athletic Trainer)125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4506
1124147491 NOAH ECKL LAT
Individual
Specialist/Technologist (Athletic Trainer)125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4220
1790804052MRS. MARCI R FOUTCH COTA
Individual
Occupational Therapy Assistant125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4220
1922127026 JENNIFER RAE DRAEGER MPT
Individual
Physical Therapist125 HOSPITAL DR
WATERTOWN, WI 53098
(608) 262-4220
1508986381MRS. KIMBERLY ANN THEISEN PTS
Individual
Physical Therapy Assistant125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4220
1023138682MS. REBECCA M ALTSHULL RD
Individual
Dietitian, Registered125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4784
1982723839 BRITTANY POLLENTIER PT
Individual
Physical Therapist125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4220
1659491041MS. KAY ELIZABETH LAPIN PTA
Individual
Physical Therapy Assistant125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4220
1245350255MRS. LAURIE E MITCHELL P.T.
Individual
Physical Therapist125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4220
1205957552 TOBY SCOTT NICHOLSON A.T.C.
Individual
Specialist/Technologist (Athletic Trainer)125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4220
1164648119MS. JULIE PATRICE AMUNDSON MPT
Individual
Physical Therapist125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4220
1346468550MRS. LINDA SUE BUDDE P.T.A.
Individual
Physical Therapy Assistant125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4220
1295953032MRS. MARGARET MARY GORA OTR
Individual
Occupational Therapist125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4220
1184844250MRS. SHERRY ANN STRUPP PT
Individual
Physical Therapist125 HOSPITAL DR
WATERTOWN, WI 53098
(920) 262-4220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699954222, enumerated in the NPI registry as an "organization" on October 31, 2007

The provider is located at 125 Hospital Dr Watertown, Wi 53098 and the phone number is (920) 261-4210

This medical organization specializes in Medicare Defined Swing Bed Unit with taxonomy code 275N00000X

The provider might be accepting Accepts: Common Ground Healthcare Cooperative, Dean Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 31, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.