Fresenius Medical Care Green Bay Dialysis, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FRESENIUS MEDICAL CARE GREEN BAY DIALYSIS, LLC

Practice address

2670 Monroe Rd Ste 160
De Pere, WI 54115-9315

Phone

(920) 307-7290

Fax

(920) 245-7056

NPI assigned

Sep 13, 2021

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Denise Wright

Title

Vice President

Phone

(781) 676-5200

Specialties & licenses 1

Addresses

Other names 1

• Fresenius Kidney Care Green Bay Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Listed as

Fresenius Kidney Care Green BayCCN 522627

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jan 14, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

24

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Bio-Medical Applications of Wisconsin, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sheboygan, WI
  • NPI 1326704784

  Member Of

  NPD member
• National Medical Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

Locations

Practitioners 1

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

• David W Koeper, MD

  • Nephrology Physician
  • Neenah, WI
  • NPI 1487698387
  NPD (past)

Affiliated clinicians 2

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

• John M Lawton, MD

  • Nephrology Physician
  • Green Bay, WI
  • NPI 1508869587

  Dialysis facility

  Care Compare affiliation Name & address match
• John Stephen Thurlow, M.D.

  • Nephrology Physician
  • Bethesda, MD
  • NPI 1740441237

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787961600000",
    "number": "1306515218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 MONROE RD STE 160",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159315",
            "telephone_number": "920-307-7290",
            "fax_number": "920-245-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 MONROE RD STE 160",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159315",
            "telephone_number": "920-307-7290",
            "fax_number": "920-245-7056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 Libal St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543012471",
            "country_code": "US",
            "telephone_number": "920-307-7290",
            "fax_number": "920-245-7056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE GREEN BAY DIALYSIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2021-09-13",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-676-5200"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fresenius Kidney Care Green Bay",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fresenius Kidney Care Green Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Meghan Fraser, PT, DPT
• Christopher Freeman, MACOM, LAC, DIPLOM
• Mary-Beth Friday, M.ED. CCC-SLP
• Sara Ann Friske
• James Gerard Fritsche, DDS
• Melanie E Froling, APNP
• Full Circle Therapy and Wellness LLC

• All providers in De Pere, WI
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.