VIVENT HEALTH INC – Clinic/Center, NPI 1982654091
Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for VIVENT HEALTH INC
5250 Leetsdale Dr Ste 300
Denver, CO 802461451
Phone: (303) 393-8050
Fax: (303) 320-1953
Type: Location
417 S Monroe Ave
Green Bay, WI 543014015
Phone: (920) 437-7400
Fax: (920) 437-1040
Type: Location
4309 E 50th Ter Ste 200
Kansas City, MO 641308500
Phone: (816) 561-8784
Fax: (877) 286-3519
Type: Location
600 Williamson St Ste H
Madison, WI 537034531
Phone: (608) 785-9866
Fax: (844) 364-6205
Type: Location
104 E Highland Mall Blvd Ste 100
Austin, TX 787523776
Phone: (512) 648-2273
Fax: (833) 393-3915
Type: Location
4309 E 50th Ter # 200
Kansas City, MO 641302853
Phone: (866) 525-5484
Type: Location
5250 Leetsdale Dr Ste 210
Denver, CO 802461451
Phone: (303) 393-8050
Fax: (303) 320-1953
Type: Location
2653 Locust St
Saint Louis, MO 631031411
Phone: (855) 751-8879
Fax: (833) 529-0574
Type: Location
445 S Adams St
Green Bay, WI 543014107
Phone: (920) 437-7400
Fax: (920) 437-1040
Type: Location
1212 57th St
Kenosha, WI 531404069
Phone: (262) 657-6644
Fax: (262) 657-6949
Type: Location
PO BOX 18412
PALATINE, IL 600558412
Phone: (866) 525-5484
Fax: (833) 394-4961
Type: Mailing
1311 N 6TH ST
MILWAUKEE, WI 532124006
Phone: (414) 223-6800
Fax: (414) 273-2357
Type: Location
PO BOX 510498
MILWAUKEE, WI 532030092
Phone: (866) 525-5484
Fax: (414) 225-1575
Type: Mailing
814; 816; 818; 820, North Plankinton Avenue, Westown, Milwaukee, Milwaukee County, Wisconsin, 53203, United States
MILWAUKEE, WI 532031802
Phone: (414) 273-1991
Fax: (414) 225-1575
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-05-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (801 days ago).
Enrollment records
3
Earliest due date
2024-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040428001271 | O | Clinic/Group Practice | WI | TBD |
| O20170331001964 | O | Clinic/Group Practice | CO | 2024-03-31 |
| O20200501001356 | O | Clinic/Group Practice | TX | 2025-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80246)
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