Christopher John Sipple, MD
Individual provider Active NPI Family Medicine Physician · Brillion, WI
NPI 1093799686 · NPPES record last updated Mar 26, 2014
Key facts
- NPI
- 1093799686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 41480 (WI)
- Practice address
- 964 W Ryan St
Suite B
Brillion, WI 54110-1076 - Phone
- (920) 756-2055
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bellin Memorial Hospital Inc
Practice addresses (Care Compare)
235 E Ryan St
Brillion, WI 54110-1132
Phone (920) 756-2055
Hospital & facility affiliations
- Bellin Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040402001390 | WI | Practitioner - Family Practice | 5496748881 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Family Medicine | Current | Accepting new patients |
Locations
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
Interoperability endpoints
- csipple32237@direct.thedacare.org
- csipple924824@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 41480 | WI | Yes |
Addresses
Primary practice location
964 W Ryan St
Suite B
Brillion, WI 54110-1076
Mailing address
964 W Ryan St
Suite B
Brillion, WI 54110-1076
Phone (920) 756-2055
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41480 | Other | WI | LICENSE |
Other providers in Brillion, WI
- Emily M. Rataichek
- Mary Rothe
- Mark Alan Rysticken
- Shopko Stores Operating Co LLC
- Shopko Stores Operating Co LLC
- T.J. Kalies
- Vernon J. Goin D.D.S. S.C.
- Jacob R Warrens
- Ty Wasmuth
- Kylee Marie Watkins
All providers in Brillion, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.