St Nicholas Hospital-Sisters of the Third Order of St Francis
Organization Active NPI Nurse Practitioner · Sheboygan, WI
NPI 1275943243 · NPPES record last updated Dec 22, 2021
Key facts
- NPI
- 1275943243
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS
- Practice address
- 3100 Superior Ave
Sheboygan, WI 53081-1948 - Phone
- (920) 459-8300
- NPI assigned
- Apr 30, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS
Authorized official
- Name
- Andrew Bagnall
- Title
- Ceo
- Phone
- (920) 459-4705
Other NPIs on the same Medicare enrollment 2
Member organizations 2
Practitioners 183
-
Youssef Ahmed, MD
-
Yousaf Ajam, MD
-
Kashif M Ali, MD
-
Syed Taimur Ali, M.D.
-
Adebisi O Alimi, M.D.
-
Catherine Cooch Allen, M.D.
-
Laura Alsteen, APNP
-
Lucas Scott Altman, FNP
-
Angela Anderson, NP
-
Lindsey Angst, OTR
-
Serena Ashour, APNP
-
Erin Bancroft, APNP
-
Kathleen Barrow, MS, LMFT
-
Marcus A Boehm, DPT
-
Dan J Braaten, LMFT, SAC
-
Amanda R Brown, PT
-
Patrick Buranicz, DO
-
Brian Paul Bye, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040202001172 | WI | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 706 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kohler, WI; Sheboygan, WI; Oostburg, WI; Plymouth, WI |
National Provider Directory
- Part of
- St Nicholas Hospital-Sisters of Third Order of St Francis
Locations
1526 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 457-2100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes | ||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
3100 Superior Ave
Sheboygan, WI 53081-1948
Mailing address
3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (920) 459-8300
Other names
- St Nicholas Hospital Professional Services Group
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stvincent_stmary_stnicholas_stclare@ewd.direct.org | Direct |
Other providers in Sheboygan, WI
- Spine Solutions of Sheboygan LLC
- Spinelli Group LLC
- St Nicholas Hospital -Sisters of Third Order of St Francis
- St Nicholas Hospital of the Hospital Sisters of St Francis
- St Nicholas Hospital-Sisters of the Third Order of St Francis
- St Nicholas Hospital-Sisters of the Third Order of St Francis
- St Nicholas Hospital-Sisters of the Third Order of St Francis
- St Nicholas Hospital-Sisters of the Third Order of St Francis
- St Nicholas Hospital-Sisters of the Third Order of St Francis
- St Nicholas Hospital-Sisters of the Third Order of St. Francis
All providers in Sheboygan, WI · Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2021. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.