CROSSROADS CARE CENTER OF SUN PRAIRIE LLC

NPI 1063925634, organization, Sun Prairie, WI, Skilled Nursing Facility

Evidence tier

network structure with a list link

Part of provider network D1-00095, ranked 95 nationally.

score 60 of 100, rank 4170, $0 at stake

Provider networks

D1-00095 ranked 95

84 providers around Wauwatosa, WI: 6 hospices, 2 home health agencies, 76 nursing facilities.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	CROSSROADS CARE CENTER OF SUN PRAIRIE LLC (also AVINA OF SUN PRAIRIE)
Type	Organization
Status	Active
NPI issued	November 6, 2017, last updated June 9, 2026
Practice location	41 RICKEL RD, Sun Prairie, WI 53590-1840, 608-837-8529
Mailing address	5454 FARGO AVE, Skokie, IL 60077-3210
Authorized official	David Merzel (Cfo)
Specialties	Skilled Nursing Facility (314000000X, primary)

In this area

12 providers in Dane County, WI carry an indicator in the public record, with $5.7M at stake between them. The most common is more hours than a day holds, on 8 of them, followed by part of a provider network on 4.

tier	provider	at stake	why
3	HOME HEALTH UNITED INC Madison, WI, ranked 1347	$107K	Part of provider network D1-00106, ranked 106 nationally.
3	OAKWOOD VILLAGE UNIVERSITY WOODS HOMES, INC Madison, WI, ranked 2061	$0	Part of provider network D1-00095, ranked 95 nationally.
3	OAKWOOD VILLAGE PRAIRIE RIDGE HOMES, INC Madison, WI, ranked 3163	$0	Part of provider network D1-00095, ranked 95 nationally.
3	BRISTOL HOSPICE - MADISON, L.L.C. Madison, WI, ranked 4617	$0	Part of provider network D1-00039, ranked 39 nationally.
5	KIMBERLY KNIPPEL Madison, WI, ranked 9862	$373K	Medicaid dollars per patient on code 97155 ($1430 per patient-month) sit in the top 5% of every provider billing that code. 67% of Medicaid dollars are on codes with a history of abuse.
5	JOSEPH PERRON Madison, WI, ranked 10134	$891K	Medicaid dollars per patient on code 0369T ($1003 per patient-month) sit in the top 5% of every provider billing that code.
5	TIFFANY PALMBACH Madison, WI, ranked 10550	$1.5M	69% of Medicaid dollars are on codes with a history of abuse.
5	JANICE SCHOLZ Madison, WI, ranked 10560	$1.3M	77% of Medicaid dollars are on codes with a history of abuse.

All 12 in WI

Recent enforcement in WI

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJChargedJun 25, 2026

Federal Charges Announced in Multi-Million Dollar Medicaid Fraud Scheme and Prescription Drug Diversion Conspiracy; Announcement Made as Part of Justice Department’s National Health Care Fraud Takedown

Cooper submitted over $5.8 million in false claims to Wisconsin Medicaid for prenatal care coordination services that beneficiaries never received and used another person's means of identification, while Jones conspired to distribute controlled substances outside the usual course of professional practice.

DOJCivil settlementApr 17, 2026

Appleton Clinic to Pay Over $380,000 to Resolve False Claims Act Allegations Relating to the Marketing and Use of Electric Stimulation Devices

Apple Medical Clinic and its principal caused the submission of false claims to Medicare for electrical muscle stimulation, vitamin injections, and other related services that were not medically reasonable or necessary, and marketed the Sanexas device outside its FDA clearance and contrary to coverage determinations.

DOJSentencedMar 23, 2026

Owner of Now-Closed Milwaukee Prenatal Care Coordination Company Sentenced to 60 Months’ Imprisonment for Healthcare Fraud Scheme

Jackson offered women kickbacks in exchange for their Medicaid numbers and falsely billed Wisconsin Medicaid for prenatal care coordination services, almost always at the monthly maximum, when she and her employees provided few to no covered services.

DOJCivil settlementMar 5, 2026

Waukesha Medical Equipment Company Agrees to Pay Nearly $7 Million to Resolve Allegations of False Billings to Federal Healthcare Programs

From 2019 through 2024, Kinex provided patients covered by federal programs with medical braces the patients did not need and billed Medicare, TRICARE, FEHBP, and OWCP as if the braces had been necessary, inducing patients to accept them by waiving co-pays and giving free equipment.

DOJSentencedFeb 3, 2026

Delafield Man Sentenced to 18 Months’ Imprisonment for Conspiracy to Pay Healthcare Kickbacks

Johnson paid kickbacks to companies purporting to provide marketing services in exchange for signed prescriptions and doctors' orders for durable medical equipment that his company Kestrel Medical submitted to Medicare.

Referral packet

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