Organization Active NPI

St Nicholas Hospital-Sisters of the Third Order of St Francis

Doing business as St. Nicholas Hospital

  • Internal Medicine Physician
  • Sheboygan, WI
National Provider Identifier
1447737762
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37 Issued in WI
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, 2026By the provider in NPPES
Organization subpart
No

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
Travis Pitzen
Title
Market Director-Finance Operations
Phone
(920) 431-3047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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, WA17 enrollments

Enrollment records 17

Enrollment IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

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.

View all 700

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

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.

Verify at the official NPI Registry.