BONE & JOINT CLINIC S.C. — NPI 1902850696 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in WAUSAU, WI)

CMS-1500 Box 24J / 33a • NPI

1902850696

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM1300X (CMS 70)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

225000 HUMMINGBIRD RD STE 100, WAUSAU, WI, 54401-2950

✓ 9-Digit EDI 837 ZIP+4 (54401-2950)

Practice Phone & Referral Fax

(715) 359-6442

Fax: (715) 393-0390

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1902850696 (BONE & JOINT CLINIC S.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1902850696` (NPI-2 Organization / Facility)
Provider / Legal Name	BONE & JOINT CLINIC S.C.
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM1300X` (Clinic/Center, Multi-Specialty)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	225000 HUMMINGBIRD RD STE 100, WAUSAU, WI, 54401-2950
Practice Telephone / Fax	Tel: (715) 359-6442 \| Fax: (715) 393-0390
Administrative Mailing Address	225000 HUMMINGBIRD RD STE 100, WAUSAU, WI, 54401-2950
Enumeration & Last Sync	Enumerated: 2006-05-19 \| CMS Record Updated: 2026-03-03
Authorized Official	ADAM HALVERSON (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

225000 HUMMINGBIRD RD STE 100, WAUSAU, WI, 54401-2950

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Plain-English Taxonomy & CMS Crosswalk (261QM1300X)

What Does Taxonomy Code 261QM1300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM1300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 70 (Clinic or Group Practice)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BONE & JOINT CLINIC S.C.)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363AS0400X` — Physician Assistant, Surgical Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical	State: N/A \| License: `Verified` \| Primary: Secondary
`207X00000X` — Orthopaedic Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`213ES0103X` — Podiatrist, Foot & Ankle Surgery Plain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery	State: N/A \| License: `Verified` \| Primary: Secondary
`208100000X` — Physical Medicine & Rehabilitation Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation	State: N/A \| License: `Verified` \| Primary: Secondary
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: N/A \| License: `Verified` \| Primary: Secondary
`332B00000X` — Durable Medical Equipment & Medical Supplies Plain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies	State: N/A \| License: `Verified` \| Primary: Secondary
`207XS0106X` — Orthopaedic Surgery, Hand Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`207XX0004X` — Orthopaedic Surgery, Foot and Ankle Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM1300X` — Clinic/Center, Multi-Specialty Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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BONE & JOINT CLINIC S.C. (NPI #1902850696)