BIRCH BOUTIQUE LLC
BIRCH BOUTIQUE LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1154045888, based in Antigo, WI. The organization lists 2 taxonomy classifications, with Mastectomy Fitter recorded as primary.
Getting there
The practice address on file is 612 CLEMONT ST STE #8, Antigo, WI 54409. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Mastectomy Fitter covers
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. NUCC Health Care Provider Taxonomy, code 224900000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 224900000X | Mastectomy Fitter | — | — | primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1154045888 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 27, 2022 |
| Last updated | Feb 29, 2024 |
| Status | Active |
| Practice address |
612 CLEMONT ST STE #8 Antigo, WI 54409 (715) 350-7174 Fax (715) 716-4330 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 5 | 4 | 0 | 4 | 5 | 8 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 1 | 4 | 0 | 4 | 1 | 8 | 7 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.