NPIMap

Organization Active NPI

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

Doing business as Prevea Health

  • General Practice Physician
  • Green Bay, WI
National Provider Identifier
1285613638
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Doing business as
Prevea Health
Practice address
2710 Executive Dr
Green Bay, WI 54304-5496
Phone
(920) 433-8287
Fax
(920) 433-8765
NPI assigned
Jan 13, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCISAs reported in NPPES

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
Amy Crouch
Title
Cfo Wi Market
Phone
(920) 496-4700

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Allergy & Immunology Physician 207K00000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Cardiovascular Disease Physician 207RC0000X
Gastroenterology Physician 207RG0100X
Obstetrics & Gynecology Physician 207V00000X
Pediatrics Physician 208000000X
Plastic Surgery Physician 208200000X
Surgery Physician 208600000X
Urology Physician 208800000X
General Practice Physician 208D00000X Primary
Hospitalist Physician 208M00000X
Physical Therapist 225100000X
Occupational Therapist 225X00000X

Addresses

Primary practice location

2710 Executive Dr
Green Bay, WI 54304-5496

Mailing address

PO Box 19070
Green Bay, WI 54307-9070
Phone (920) 496-4700

Other identifiers 1

IdentifierTypeStateIssuer
100004353MedicaidWI

Other names 1

  • Prevea Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prevea_transitions_of_care2201213@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
O20080620000423 WI Part B Supplier - Clinic/Group Practice 5799694675 Receives reassigned benefits from 784 practitioners
1 other NPI on this enrollment
Practice locations: Green Bay, WI; Kewaunee, WI; Luxemburg, WI; Manitowoc, WI; Marinette, WI; Oconto, WI; Oconto Falls, WI; Pulaski, WI…

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 1

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

National Provider Directory

National Provider Directory
Part of
St Vincent Hospital Sisters

Locations

833 Chestnut St
Ste 740
Philadelphia, PA 19107
Phone (215) 955-4947

999 Berkshire Blvd
Ste 130
Wyomissing, PA 19610
Phone (610) 374-1950

1715 Division St
Algoma, WI 54201

1825 N Bluemound Dr
Appleton, WI 54914
Phone (833) 625-0628

419 S Washington St
#1
Combined Locks, WI 54113

1500 Fort Howard Ave
De Pere, WI 54115

1601 Lawrence Dr
Ste 100
De Pere, WI 54115
Phone (920) 426-4700

3860 Monroe Rd
De Pere, WI 54115
Phone (920) 272-1200

1001 Discovery Rd
Green Bay, WI 54311

1028 N Ashland Ave
Green Bay, WI 54303

1233 Lore Ln
Green Bay, WI 54303

1326 Cornell Rd
Green Bay, WI 54313

1673 Dousman St
Green Bay, WI 54303
Phone (920) 498-2559

2300 S Ashland Ave
Green Bay, WI 54304
Phone (920) 348-9134

2710 Executive Dr
Green Bay, WI 54304
Phone (920) 272-1112

3050 Walker Dr
Green Bay, WI 54311

470 Security Blvd
Green Bay, WI 54313

670 Cormier Rd
Green Bay, WI 54304
Phone (920) 494-9685

835 S Van Buren St
Fl 1
Green Bay, WI 54301

2793 Lineville Rd
Howard, WI 54313

1409 Cleveland Ave
Marinette, WI 54143
Phone (715) 732-0832

600 Elm St
Neenah, WI 54956
Phone (920) 268-6940

2614 N County Road P
New Franken, WI 54229

1040 S Saint Augustine St
Pulaski, WI 54162

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 850

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.

View all 850

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1285613638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19070",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543079070",
            "telephone_number": "920-496-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 EXECUTIVE DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045496",
            "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": "YES",
        "parent_organization_legal_business_name": "ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS",
        "enumeration_date": "2006-01-13",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CFO WI MARKET",
        "authorized_official_telephone_number": "920-496-4700"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004353",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prevea_transitions_of_care2201213@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cda/ccd/txt",
            "address_1": "2710 Executive Dr",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543045496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prevea Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prevea Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.