NPIMap

Organization Active NPI

St Vincent Hospital-Hospital Sisters-Third Order of St Francis

Doing business as St Vincent Hospital

  • General Acute Care Hospital
  • Green Bay, WI
National Provider Identifier
1114908001
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
19 Issued in WI
Legal business name
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Doing business as
St Vincent Hospital
Practice address
835 S Van Buren St
Green Bay, WI 54301-3526
Phone
(920) 433-8287
Fax
(920) 433-8765
NPI assigned
Nov 8, 2005
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Travis Pitzen
Title
Market Director-Finance Operations-
Phone
(920) 431-3047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 19 WI Primary

Addresses

Primary practice location

835 S Van Buren St
Green Bay, WI 54301-3526

Mailing address

PO Box 13508
Green Bay, WI 54307-3508
Phone (920) 433-8287

Other identifiers 1

IdentifierTypeStateIssuer
11012100MedicaidWI

Other names 1

  • St Vincent Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stvincent_stmary_stnicholas_stclare@ewd.direct.hshs.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030421000001 WI Part A Provider - Hospital 5799694675 4 other NPIs on this enrollment
Practice locations: Sturgeon Bay, WI; Sheboygan, WI; Green Bay, WI; Oconto Falls, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114908001. Details of each certification follow.

Hospital certification: CCN 520075

Legal name
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Doing business as
ST. VINCENT HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 22, 2003
Beds
523
Ownership / control type
Church
Organization structure
CorporationNon-profit
Enrollment address
835 S Van Buren St
Green Bay, WI 54301-3526
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
St Vincent HospitalCCN 520075 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1716 Lawrence Dr
De Pere, WI 54115
Phone (920) 605-3115

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Hospital Sisters Health System Inc Organization, Springfield, IL 5% Or Greater Direct Ownership Interest Oct 20, 2014 100%
Dennis Langenberg Individual Corporate Director Nov 1, 2018
Stephanie L Bakey Individual Corporate DirectorBoard Member Nov 1, 2021
Paula Hafeman Individual Corporate DirectorBoard Member Nov 1, 2021
Marcus Perez Individual Corporate DirectorBoard Member Nov 1, 2022
Patricia L Allen Individual Corporate OfficerCfo Jan 1, 2020
Corporate DirectorCfo Jan 1, 2020
Maureen Fagan Individual Corporate Director Nov 1, 2018
Jody Anne Boes Individual Corporate DirectorBoard Member Nov 1, 2021
Hospital Sisters Services Inc Organization, Springfield, IL 5% Or Greater Indirect Ownership Interest Oct 20, 2014 100%
Kyle J McCarty Individual Corporate DirectorBoard Member Nov 1, 2022
Nicole Schneider Individual Corporate DirectorBoard Member Nov 1, 2020
John Wagner Individual Corporate OfficerCoo Oct 15, 2022
Corporate DirectorCoo Oct 15, 2022
Damond Williams Boatwright Individual Corporate OfficerPresident/Ceo Jul 19, 2021
Michael Wickman Individual Corporate Officer Nov 1, 2018
Robert Erickson Individual Corporate OfficerPresident/Ceo Apr 29, 2024
Corporate DirectorPresident/Ceo Apr 29, 2024
W-2 Managing EmployeePresident/Ceo Apr 29, 2024
Travis Pitzen Individual Corporate OfficerDirector of Finance Sep 30, 2024
Corporate DirectorDirector of Finance Sep 30, 2024

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Door County Medical CenterSturgeon Bay, WI, CCN 521358 Hospital Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center Swing BedSturgeon Bay, WI, CCN 52Z358 Hospital Operational/Managerial Control (40%) Nov 1, 2016
Pete and Jelaine Horton CenterSturgeon Bay, WI, CCN 525377 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 28, 2016
Feb 14, 2025
UnityDe Pere, WI, CCN 521503 Hospice 5% Or Greater Direct Ownership Interest (45%)
Limited Partnership Interest (45%)
Operational/Managerial Control (45%)		 Oct 1, 1992
Oct 1, 1992
Oct 1, 1992
Door County Medical Center Sturgeon BaySturgeon Bay, WI, CCN 528531 Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center Sister BaySister Bay, WI, CCN 528532 Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center AlgomaAlgoma, WI, CCN 528530 Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center Washington IslandWashington Island, WI, CCN 528515 Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
DirectcareSturgeon Bay, WI, CCN 528654 Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 34

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

View all 34

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 573

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

View all 573

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1114908001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13508",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543073508",
            "telephone_number": "920-433-8287",
            "fax_number": "920-433-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S VAN BUREN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013526",
            "telephone_number": "920-433-8287",
            "fax_number": "920-433-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "PITZEN",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "MARKET DIRECTOR-FINANCE OPERATIONS-",
        "authorized_official_telephone_number": "920-431-3047"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WI",
            "license": "19",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11012100",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stvincent_stmary_stnicholas_stclare@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "835 S Van Buren St",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543013526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St Vincent Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Vincent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.