Active NPI
St Nicholas Hospital-Sisters of the Third Order of St Francis
Doing business as St. Nicholas Hospital
- Internal Medicine Physician
- Sheboygan, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 37
- Legal business name
- ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS
- Doing business as
- St. Nicholas Hospital
- Practice address
- 3100 Superior Ave
Sheboygan, WI 53081-1994 - Phone
- (920) 459-5192
- NPI assigned
- Jul 20, 2018
- Last updated
- Feb 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Travis Pitzen
- Title
- Market Director-Finance Operations
- Phone
- (920) 431-3047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 37 | WI | Primary |
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 1
- St. Nicholas Hospital
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stvincent_stmary_stnicholas_stclare@ewd.direct.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, CA, MA, NY, NJ, TX, FL, OH, MI, NV, PA, NC, MO, GA, VA, DC, WA
Enrollment records 17
| 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 |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Prevea Health
- Durable Medical Equipment & Medical Supplies
- Kohler, WI
- NPI 1184188278
8325931652
-
dba Prevea Sheboygan Health Center
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1275799413
8325931652
-
dba St Nicholas Hospital
- General Acute Care Hospital
- Sheboygan, WI
- NPI 1730184342
8325931652
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Sheboygan, WI
- NPI 1174796668
Member Of
Locations
950 Woodlake Rd
Kohler, WI 53044
Phone (920) 783-3150
941 Center Ave
Oostburg, WI 53070
Phone (920) 429-1714
1 University Dr
Sheboygan, WI 53081
1526 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 457-2100
1601 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 459-4767
Practitioners & affiliated clinicians
Practitioners 700
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.
-
- Nurse Practitioner
- Green Bay, WI
- NPI 1154780922
-
- Nurse Practitioner
- Green Bay, WI
- NPI 1093451155
-
- Nurse Practitioner
- Sheboygan, WI
- NPI 1255614830
-
- Family Nurse Practitioner
- Sheboygan, WI
- NPI 1962052118
-
- Hospitalist Physician
- Green Bay, WI
- NPI 1346564168
Internal Medicine
-
- Family Nurse Practitioner
- Green Bay, WI
- NPI 1508692724
-
- Internal Medicine Physician
- Wausau, WI
- NPI 1174147987
-
- Hematology & Oncology Physician
- Marinette, WI
- NPI 1154681377
Internal Medicine
-
- Family Nurse Practitioner
- Green Bay, WI
- NPI 1366933608
-
- Hospitalist Physician
- Green Bay, WI
- NPI 1740237775
-
- Family Nurse Practitioner
- Green Bay, WI
- NPI 1144892464
-
- Family Nurse Practitioner
- Green Bay, WI
- NPI 1093698631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1447737762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SUPERIOR AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530811994",
"telephone_number": "920-459-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SUPERIOR AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530811994",
"telephone_number": "920-459-5192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-20",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "PITZEN",
"authorized_official_first_name": "TRAVIS",
"authorized_official_title_or_position": "MARKET DIRECTOR-FINANCE OPERATIONS",
"authorized_official_telephone_number": "920-431-3047"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "WI",
"license": "37",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stvincent_stmary_stnicholas_stclare@ewd.direct.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "3100 Superior Ave",
"city": "Sheboygan",
"state": "WI",
"country_code": "US",
"postal_code": "530811948",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "St. Nicholas Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "St. Nicholas Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
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 (Prevea Health Employer Services)
- St Nicholas Hospital-Sisters of the Third Order of St Francis (Prevea Health-Sheboygan Therapy DME Supplier)
- St Nicholas Hospital-Sisters of the Third Order of St Francis (St Nicholas Hospital Professional Services Group)
- St Nicholas Hospital-Sisters of the Third Order of St Francis (Prevea Health)
- St Nicholas Hospital-Sisters of the Third Order of St Francis (Prevea Health Clinic Lab)
- St Nicholas Hospital-Sisters of the Third Order of St Francis (Prevea Health -Sheboygan Orthopedics DME)
- St Nicholas Hospital-Sisters of the Third Order of St. Francis (St. Nicholas Hospital Renal Dialysis)
- Alicia St Peter, APNP
- St. Joseph's Hospital (Libertas)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.