SEQUOIA INTEGRATIVE MEDICAL SERVICES LLC
SEQUOIA INTEGRATIVE MEDICAL SERVICES LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1790312171, based in Kaukauna, WI. The organization lists 6 taxonomy classifications, with Geriatric Medicine (Family Medicine) Physician recorded as primary.
Getting there
The practice address on file is 1746 PAUL DR, Kaukauna, WI 54130. 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.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8527480250
- Enrollment ID
- O20200625000133
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Geriatric Medicine covers
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. NUCC Health Care Provider Taxonomy, code 207QG0300X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician Geriatric Medicine | — | — | primary |
| 207Q00000X | Family Medicine Physician | — | — | |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | — | — | |
| 261QP2000X | Physical Therapy Clinic/Center Physical Therapy | — | — | |
| 225X00000X | Occupational Therapist | — | — | |
| 104100000X | Social Worker | — | — |
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 | 1790312171 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 25, 2020 |
| Last updated | Apr 17, 2026 |
| Status | Active |
| Practice address |
1746 PAUL DR Kaukauna, WI 54130 (920) 422-7402 |
| Mailing address |
PO BOX 411 Riverside, IL 60546 |
| Other identifiers |
36015700
· Medicaid (WI) |
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 | 7 | 9 | 0 | 3 | 1 | 2 | 1 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 9 | 0 | 6 | 1 | 4 | 1 | 5 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
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.