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NPISignal

Individual Healthcare Provider

Chantall Willson, CFM, CST, CNA

NPI Record: ActiveMastectomy Fitter
NPI1467298273
Wausau, Wisconsin

Provider's NPPES record last updated: July 2, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1467298273
Primary Specialty
Mastectomy Fitter
Practice Location
Wausau, Wisconsin
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 1:15 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Mastectomy Fitter

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    Primary

    An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.

    Taxonomy code 224900000X
  • Specialist/Technologist, Other

    Surgical Technologist

    Technologists, Technicians & Other Technical Service Providers

    Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures.

    Taxonomy code 246ZS0410X

Provider-Reported License Information

Mastectomy Fitter (Wisconsin)
CFM03571
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1607 W Wausau Ave

Wausau, Wisconsin 54401-2002

Phone: (715) 486-6343

Record Information

Enumeration Date
July 2, 2024
Provider's NPPES Record Last Updated
July 2, 2024
Certification Date
July 2, 2024
NPISignal NPPES Dataset
August 2026

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