NPIMap

Organization Active NPI

Fond Du Lac County

  • Public Health or Welfare Agency
  • Fond Du Lac, WI
National Provider Identifier
1285606178
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
FOND DU LAC COUNTY
Practice address
160 S Macy St
Fond Du Lac, WI 54935-4241
Phone
(920) 929-3085
Fax
(920) 929-3102
NPI assigned
Feb 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Kimberly Mueller, RN, MSN
Title
Fond Du Lac County Health Officer
Phone
(920) 929-3085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

160 S Macy St
Fond Du Lac, WI 54935-4241

Mailing address

160 S Macy St FL 3
Fond Du Lac, WI 54935-4241
Phone (920) 929-3085

Other identifiers 2

IdentifierTypeStateIssuer
41850700MedicaidWI
44005100MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120501000369 WI Part B Supplier - Mass Immunization (Roster Biller Only) 2668376245 Practice locations: Fond Du Lac, WI

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Fond Du Lac County DSS Personal Care14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

160 S Macy St
Fl 3
Fond du Lac, WI 54935

160 S Macy St
#3
Fond du Lac, WI 54935
Phone (920) 929-3085

445 E 1st St
Fond du Lac, WI 54935
Phone (920) 929-3500

160 S Macy St
Fond du Lac, WI 54935
Phone (920) 929-3085

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Fond Du Lac CountyFond Du Lac, WI, CCN 524025 Hospital Other Mar 18, 2022
Harbor Haven Health & RehabilitationFond Du Lac, WI, CCN 525534 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Trustee of the SNF
Adp of the SNF		 Jan 1, 1972
Jan 1, 1972
Jan 1, 1972
Jan 1, 1972

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1285606178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S MACY ST FL 3",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354241",
            "telephone_number": "920-929-3085",
            "fax_number": "920-929-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S MACY ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354241",
            "telephone_number": "920-929-3085",
            "fax_number": "920-929-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOND DU LAC COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "FOND DU LAC COUNTY HEALTH OFFICER",
        "authorized_official_telephone_number": "920-929-3085",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41850700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44005100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

Verify at the official NPI Registry.