NPIMap

Organization Active NPI

St Paul Elder Services, Inc

  • Skilled Nursing Facility
  • Kaukauna, WI
National Provider Identifier
1093786543
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2988 Issued in WI
Legal business name
ST PAUL ELDER SERVICES, INC
Practice address
316 E 14TH St
Kaukauna, WI 54130-3304
Phone
(920) 766-6020
Fax
(920) 766-9161
NPI assigned
Jan 31, 2006
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amber Schroeder
Title
Cfo
Phone
(920) 766-6020

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Supplier Rehabilitation Counselor 225CA2500X NU
Educational Registered Respiratory Therapist 2279E1000X NU
Case Management Agency 251B00000X NU
Home Health Agency 251E00000X NU
Adult Day Care Clinic/Center 261QA0600X NU
Skilled Nursing Facility 314000000X 2988 WI Primary
Emergency Response System Companies 333300000X NU
Meals Provider 174200000X NU

Addresses

Primary practice location

316 E 14TH St
Kaukauna, WI 54130-3304

Mailing address

316 E 14TH St
Kaukauna, WI 54130-3304
Phone (920) 766-6020

Other identifiers 2

IdentifierTypeStateIssuer
0010491OtherWIADULT DAY CARE LICENSE
20164800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100315000191 WI Part A Provider - Skilled Nursing Facility 6204800691 Practice locations: Kaukauna, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093786543. Details of each certification follow.

Skilled nursing facility certification: CCN 525617

Legal name
ST PAUL ELDER SERVICES, INC
Doing business as
WIPLFI, LLP
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1997
Last certification
Apr 2, 2025
Beds
105
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 5, 1960 in WI
Enrollment address
316E 14TH St
Kaukauna, WI 54130-3304
Nursing home name
ST PAUL ELDER SERVICES, INC
Affiliated entity
FRANCISCAN SISTERS OF CHRISTIAN CHARITY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Paul Elder Services, IncCCN 525617 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jul 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10597.0 residents per day on average
Chain
Franciscan Sisters of Christian Charity3 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

2105 E Enterprise Ave
#120
Appleton, WI 54913
Phone (920) 766-6020

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joellen Kohlmann Individual Corporate DirectorBoard Member Mar 1, 2024
Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Paula Vandehey Individual Corporate DirectorBoard Member Mar 1, 2024
Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
PRN Health Services, Inc. Organization, Appleton, WI Medical staffing company Operational/Managerial Control Oct 1, 2022
Adp of the SNF Jan 13, 2026
Amergis Healthcare Staffing, Inc Organization, Wauwatosa, WI Medical staffing company Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jan 13, 2026
Ryan T Neville Individual Operational/Managerial Control Feb 13, 2025
Adp of the SNF Feb 13, 2025
Davis Clinical Consulting Organization, Beloit, WI Consulting firm Operational/Managerial Control Jan 1, 2025
Adp of the SNF Dec 23, 2025
Megan Mashl Individual Operational/Managerial Control Jun 26, 2017
Adp of the SNF Jun 26, 2017
Pat Hietpas Individual Corporate DirectorBoard Member Mar 1, 2018
Operational/Managerial Control Mar 1, 2018
Adp of the SNF Mar 1, 2018
P&M Holding Group LLP Organization, Grand Rapids, MI Consulting firm Operational/Managerial Control Jan 1, 2011
Adp of the SNF Jan 13, 2026
Franciscan Sisters of Christian Charity Sponsored Ministries Inc Organization, Manitowoc, WI Non-profit, Chain home office Operational/Managerial Control Mar 15, 2010
Adp of the SNF Dec 23, 2025
Lisa Sabin-Wilson Individual Operational/Managerial Control Sep 15, 2025
Nicole a Brady Individual Corporate DirectorBoard Member Mar 1, 2019
Operational/Managerial Control Mar 1, 2019
Adp of the SNF Mar 1, 2019
Charleen Acker Individual Corporate DirectorBoard Member Mar 1, 2017
Operational/Managerial Control Mar 1, 2017
Adp of the SNF Mar 1, 2017
Karmen Lemke Individual Corporate DirectorBoard Member Jun 2, 2025
Operational/Managerial Control Jun 2, 2025
Adp of the SNF Jun 2, 2025
Clay Eiting Individual Corporate DirectorBoard Member Mar 1, 2024
Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 1, 2024
Amber Schroeder Individual Corporate OfficerCfo Jul 19, 2022
Operational/Managerial Control Jul 19, 2022
Adp of the SNF Jul 19, 2022
Jackie Abel Individual Corporate DirectorBoard Member Jan 1, 2015
Operational/Managerial Control Jan 1, 2015
Adp of the SNF Jan 1, 2015
Michael Gage Individual Corporate DirectorBoard Member Mar 1, 2019
Operational/Managerial Control Mar 1, 2019
Adp of the SNF Mar 1, 2019
Kelsey M Kienert Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1093786543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E 14TH ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303304",
            "telephone_number": "920-766-6020",
            "fax_number": "920-766-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E 14TH ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303304",
            "telephone_number": "920-766-6020",
            "fax_number": "920-766-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PAUL ELDER SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-766-6020"
    },
    "taxonomies": [
        {
            "code": "225CA2500X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2988",
            "primary": true
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT DAY CARE LICENSE",
            "identifier": "0010491",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20164800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaukauna, WI

Sources for this page

Verify at the official NPI Registry.