St Nicholas Hospital-Sisters of the Third Order of St Francis
Organization Active NPI Internal Medicine Physician · Sheboygan, WI
NPI 1447737762 · NPPES record last updated Feb 12, 2026
Key facts
- NPI
- 1447737762
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 37 (WI)
- Legal business name
- ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS
- Practice address
- 3100 Superior Ave
Sheboygan, WI 53081-1994 - Phone
- (920) 459-5192
- NPI assigned
- Jul 20, 2018
- Organization subpart
- No
Authorized official
- Name
- Travis Pitzen
- Title
- Market Director-Finance Operations
- Phone
- (920) 431-3047
Other NPIs with the same Medicare PAC ID 3
Practitioners 759
-
Brittany R Burg, NP
-
Sally Lynn Haen, NP
-
Ravindra Hanumaiah, M.D.
-
Sarah L Wassink, APNP
-
Justin C Wright, PA-C
-
Yasir Yafai, DO
-
Adeel Kamal, PA-C
-
Amy Germain, DNP
-
Angelica Teresa Hon, DNP, APRN
-
Emily Jean Lefeber, FNP-C
-
Jeanne Marie Meier, APNP
-
Osama Nusrat, M.D.
-
Ahmed U Otokiti, MD
-
Halley Straw, APNP
-
Sami S Abdul Jawad, M.D.
-
Tariq Jawaid Alam, MD, FAAN
-
Ameer Alwafai, M.D.
-
Walid Talat Aziz, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (17 enrollments) in WI, CA, MA, NY, NJ, TX, FL, OH, MI, NV, PA, NC, MO, GA, VA, DC, WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190321002397 | WI | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 32 practitioners Practice locations: Sheboygan, WI |
| O20210630001224 | CA | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 5 practitioners Practice locations: Santa Barbara, CA; San Rafael, CA; Oakland, CA; Los Angeles, CA; El Dorado Hills, CA |
| O20220419002036 | MA | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 2 practitioners Practice locations: Boston, MA; Worcester, MA |
| O20220426000568 | NY | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 3 practitioners Practice locations: Brooklyn, NY; New York, NY; Ridgewood, NY |
| O20220506001764 | NJ | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 2 practitioners Practice locations: Edison, NJ; Verona, NJ |
| O20220509000004 | TX | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 7 practitioners Practice locations: Dallas, TX; Garland, TX; Houston, TX; Kingwood, TX; Sugar Land, TX; Arlington, TX |
| O20220513000065 | FL | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 9 practitioners Practice locations: Winter Park, FL; Windermere, FL; Delray Beach, FL; Tampa, FL; Ormond Beach, FL; Orlando, FL; Boca Raton, FL; Miami, FL |
| O20220513001406 | OH | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 1 practitioner Practice locations: Dayton, OH; Delaware, OH |
| O20220705000162 | MI | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 3 practitioners Practice locations: Beverly Hills, MI; Farmington Hills, MI; Northville, MI; West Bloomfield, MI |
| O20221006001541 | NV | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 1 practitioner Practice locations: Reno, NV |
| O20221019002660 | PA | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 1 practitioner Practice locations: Harleysville, PA; Pittsburgh, PA |
| O20221114000696 | NC | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 2 practitioners Practice locations: Apex, NC; Waxhaw, NC; Winston Salem, NC |
| O20221201000983 | MO | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 1 practitioner Practice locations: Chesterfield, MO |
| O20230228002432 | GA | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 1 practitioner Practice locations: Hoschton, GA |
| O20230306000378 | VA | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 4 practitioners Practice locations: Richmond, VA; Glen Allen, VA; Virginia Beach, VA; Rosedale, VA |
| O20230602000023 | DC | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 3 practitioners Practice locations: Alexandria, VA; Germantown, MD; Washington, DC |
| O20241028000368 | WA | Part B Supplier - Clinic/Group Practice | 8325931652 |
Receives reassigned benefits from 1 practitioner Practice locations: Kirkland, WA |
National Provider Directory
Locations
15 S 10th St
Ste A
Oostburg, WI 53070
Phone (920) 552-5046
1337 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 452-4688
3141 Saemann Ave
Sheboygan, WI 53081
Phone (920) 783-1250
3425 Superior Ave
Sheboygan, WI 53081
Phone (920) 458-5557
1 University Dr
Sheboygan, WI 53081
1440 N 25th St
Sheboygan, WI 53081
Phone (920) 457-3737
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 37 | WI | Yes |
Addresses
Primary practice location
3100 Superior Ave
Sheboygan, WI 53081-1994
Mailing address
3100 Superior Ave
Sheboygan, WI 53081-1994
Phone (920) 459-5192
Other names
- St. Nicholas Hospital
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stvincent_stmary_stnicholas_stclare@ewd.direct.org | Direct |
Other providers in Sheboygan, WI
- 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
- Alicia St Peter
- St. Joseph'S Hospital
All providers in Sheboygan, WI · Internal Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2026. 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.