CORNERSTONE CLINIC LLC – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1861037293

CORNERSTONE CLINIC LLC is a healthcare provider. based in Plover, Wisconsin. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The NPI Number for CORNERSTONE CLINIC LLC is 1861037293

Main info

Organization
Name
CORNERSTONE CLINIC LLC
NPI
1861037293
Phone
(715) 600-2798
Address
2558 POST RD
Authorized Official
DAVE PRINCE BUSINESS MANAGER
Enumeration Date
8 November 2019
Last Update Date
20 January 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:6State licenses:0Digital endpointsOther names

Provider Addresses for CORNERSTONE CLINIC LLC

  • 2558 POST RD

    PLOVER, WI 544673331

    Phone: (715) 600-2798

    Fax: (715) 600-5182

    Type: Mailing

  • 3015 S Main St

    Rice Lake, WI 548688710

    Phone: (715) 600-2798

    Fax: (715) 504-1987

    Type: Location

  • 2831 POST RD STE 300

    PLOVER, WI 544673415

    Phone: (715) 600-2798

    Fax: (715) 504-1987

    Type: Location

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: 2020-01-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-07-31 (320 days ago).

Enrollment records

1

Earliest due date

2025-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20200122000859OClinic/Group PracticeWI2025-07-31

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.

Verify on CMS Revalidation Lookup Tool

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 54467)

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Reviews

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Frequently asked questions

How do I look up CORNERSTONE CLINIC LLC by NPI?
Use NPI 1861037293 when you need to reference CORNERSTONE CLINIC LLC in forms, claims, or directories.
Does this profile mean CORNERSTONE CLINIC LLC is currently active?
Yes — CORNERSTONE CLINIC LLC appears active in the national provider directory.
What kind of provider is CORNERSTONE CLINIC LLC?
The page reflects Mental Health Clinic/Center (Including Community Mental Health Center) for CORNERSTONE CLINIC LLC. Clinical services aligned with this taxonomy classification.
Where does public data place CORNERSTONE CLINIC LLC?
The snapshot lists Plover, Wisconsin for CORNERSTONE CLINIC LLC; download NPPES for the complete set.
How can I contact CORNERSTONE CLINIC LLC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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