NPI 1417834565 · live from the CMS NPI Registry
Commonheart, INC.
Family Medicine, Hospice and Palliative Medicine in Waukesha, WI. National Provider Identifier 1417834565, active.
NPI record
| NPI | 1417834565 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Hospice and Palliative Medicine 207QH0002X |
| Practice location | N16w23217 Stone Ridge Dr Ste 350, Waukesha, WI 53188 |
| Practice phone | 844-206-4930 |
| Mailing address | 1045 Hill St, Watertown, WI 53098 |
| Enumerated | August 20, 2025 |
| Last updated | July 10, 2026 |
| Authorized official | Justin Munzel, President |
| Other names | Commonheart Palliative Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Hospice and Palliative Medicine primary | 207QH0002X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.