Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mountains Edge Medical Group PLLC

Organization Family Medicine Physician · NPI 1316496383

Mountains Edge Medical Group PLLC is a Family Medicine Physician in Richland Center, Wisconsin. Works from 2 locations. Licensed in Colorado, Washington and Wisconsin.

Licensed in
CO, WA, WI
In the registry since
2016
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

333 E 2nd St
Richland Center, WI 53581
Phone: (608) 647-6321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1900 Sunrise Dr, Saint Peter, MN 56082-5376 — (702) 453-3799

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 66303 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD60688815 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence DR0057605 (CO)

Record details

NPI number1316496383
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Pappy — Sole Owner · (405) 740-5017
NPI enumeratedSeptember 30, 2016
Last updated in NPPESDecember 29, 2022
Certification dateDecember 29, 2022
Mailing address2660 Crimson Canyon Dr Ste 130, Las Vegas, NV 89128-0846

Other providers in Richland Center