Aurora Medical Group, Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Marinette, WI

NPI 1215755293 · NPPES record last updated Oct 14, 2025

Key facts

NPI
1215755293
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
AURORA MEDICAL GROUP, INC.
Practice address
3003 University Dr
Marinette, WI 54143-4110
Phone
(715) 735-4690
Fax
(715) 732-8213
NPI assigned
Sep 30, 2024
Organization subpart
No

Authorized official

Name
Kara Richardson
Title
Asst Treasurer
Phone
(704) 631-0450

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Aurora Baycare Medical Center
Green Bay, WI · CCN 520193
Hospital 5% Or Greater Direct Ownership Interest (62%) Oct 26, 2010
Evergreen Health Center
Oshkosh, WI · CCN 525647
Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 15, 2025
Jan 15, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250408002603 WI DME Supplier - Multi-Specialty - Physician 6709794258 Practice locations: Marinette, WI

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

3003 University Dr
Marinette, WI 54143-4110

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (414) 647-6326

Other names

  • Aurora Medical Group Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Other providers in Marinette, WI

All providers in Marinette, WI · Durable Medical Equipment & Medical Supplies in Wisconsin

Sources for this page

Verify at the official NPI Registry.