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Deactivated NPI 1215362462 Deactivated / Inactive NPI Male Practitioner

John M Protiva , INSURANCE AGENT

Contractor • Elm Grove, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Protiva has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 06, 2013
NPI Deactivation Date February 26, 2026
Total Practice Duration ~13 Years of Practice (2013 – 2026)

Professional Overview & Biography Verified Profile Summary

John Protiva, INSURANCE AGENT was a registered Contractor practicing in Elm Grove, WI. Throughout an active medical career spanning 13 years, John Protiva provided care at the practice location at 1920 WESTMOOR TER until profile deactivation on 2026-02-26.

Practice Location & Contact Primary Location

Practice Address

1920 Westmoor Ter

Elm Grove, WI 531221063

Telephone 2628270600
Fax 2628270999

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Elm Grove, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Elm Grove, WI (91 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License WI 16857

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 26, 2026

Record deactivated on February 26, 2026

NPI Profile Active September 06, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 06, 2013

Registered at 1920 WESTMOOR TER, ELM GROVE, WI 531221063 (Tel: 2628270600)

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Updated Business Mailing Address September 06, 2013

Registered at 1920 WESTMOOR TER, ELM GROVE, WI 531221063 (Tel: 2628270600)

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Provider Name / Credentials Updated September 06, 2013

Recorded as JOHN PROTIVA, INSURANCE AGENT

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2013

Contractor (License #16857 in WI)

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Initial NPI Registration & Enumeration September 06, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215362462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2013
Last Update: September 06, 2013
Deactivation Date: February 26, 2026

Mailing Address

1920 Westmoor Ter

Elm Grove, WI 531221063

Phone: 2628270600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.