NPIMap

Organization Active NPI

St Clare Memorial Hospital, Inc

Doing business as St Clare Memorial Hospital Oconto Falls Health Center

  • Rural Health Clinic/Center
  • Oconto Falls, WI
National Provider Identifier
1467583096
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ST CLARE MEMORIAL HOSPITAL, INC
Doing business as
St Clare Memorial Hospital Oconto Falls Health Center
Practice address
835 S Main St
Suite 1
Oconto Falls, WI 54154-1282
Phone
(920) 846-8187
Fax
(920) 846-2073
NPI assigned
Mar 7, 2007
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST CLARE MEMORIAL HOSPITAL, INCAs 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
Travis Pitzen
Title
Market Director-Finance Operations
Phone
(920) 431-3047

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Physician Assistant 363A00000X 1233-023 WI
Nurse Practitioner 363L00000X 2770-033 WI
Nurse Practitioner 363L00000X 1075-033 WI
Family Medicine Physician 207Q00000X 48740-020 WI
Family Medicine Physician 207Q00000X 38426-020 WI
Family Medicine Physician 207Q00000X 33603-020 WI
Internal Medicine Physician 207R00000X 39408-020 WI
Internal Medicine Physician 207R00000X 34230-020 WI
Surgery Physician 208600000X 21763-20 WI

Addresses

Primary practice location

835 S Main St
Suite 1
Oconto Falls, WI 54154-1282

Mailing address

835 S Main St Ste 1
Oconto Falls, WI 54154-1282
Phone (920) 846-8187

Other identifiers 7

IdentifierTypeStateIssuer
1023092715OtherNPI KLEMENS
1639166853OtherWILIEBL NPI
1679613475OtherNPI ELKINS
1851477913OtherNPI CMH
1306825872OtherNPI PEREZ
1477532943OtherNPI BALMADRID
1811906555OtherNPI BHATOYA

Other names 1

  • St Clare Memorial Hospital Oconto Falls Health Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address community_memorial_hospital_transitions_of_care2201223@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050510001159 WI Part A Provider - Critical Access Hospital 0446211395 Receives reassigned benefits from 7 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oconto Falls, WI
O20100623000644 WI Part A Provider - Rural Health Clinic 0446211395 Practice locations: Oconto Falls, WI

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1467583096. Details of each certification follow.

Hospital certification: CCN 521310

Legal name
ST CLARE MEMORIAL HOSPITAL, INC
Doing business as
HSHS ST. CLARE MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2001
Last certification
Sep 20, 2023
Beds
15
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
855 S Main St
Oconto Falls, WI 54154-1241
Other Hospital Practice Location

Rural health clinic certification: CCN 528546

Legal name
ST CLARE MEMORIAL HOSPITAL, INC
Doing business as
HSHS ST. CLARE MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 11, 2012
Last certification
Jul 11, 2012
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
Oconto Falls Health Center
835 S Main St Suite # 1
Oconto Falls, WI 54154-1282
Related CCNs
521310

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
HSHS St Clare Memorial HospitalCCN 521310 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Community Memorial Hosp

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hospital Sisters Health System Inc Organization, Springfield, IL Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Sep 1, 2014 100%
Michael M Nelessen Individual Corporate Director Nov 1, 2018
Ginny Oharrow Individual Corporate DirectorBoard Member Nov 1, 2023
Jan Stranz Individual Corporate Director Feb 1, 1999
Corporate Director Jul 1, 2010
Cara B Peterson Individual Corporate DirectorBoard Member Nov 1, 2023
Patricia L Allen Individual Corporate OfficerCfo Jan 1, 2020
Corporate DirectorCfo Jan 1, 2020
Lori Dufek Individual Corporate DirectorBoard Member Nov 1, 2021
Hospital Sisters Services Inc Organization, Springfield, IL Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2014 100%
Ron Christensen Individual Corporate DirectorBoard Member Nov 1, 2023
John Wagner Individual Corporate OfficerCoo Oct 15, 2022
Corporate DirectorCoo Oct 15, 2022
Damond Williams Boatwright Individual Corporate OfficerPresident/Ceo Jul 19, 2021
W-2 Managing EmployeePresident/Ceo Jul 19, 2021 100%
Robert Erickson Individual Corporate OfficerPresident/Ceo Apr 29, 2024
Corporate DirectorPresident/Ceo Apr 29, 2024
Travis Pitzen Individual Corporate DirectorDirector of Finance Sep 30, 2024
W-2 Managing EmployeeDirector of Finance Sep 30, 2024
Stacee Goedtel Birr Individual Corporate DirectorBoard Member Nov 1, 2023
Hospital Sisters Health System Organization, Springfield, IL Non-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2014 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 34

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 34

Practitioners & affiliated clinicians

Affiliated clinicians 118

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

View all 118

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1467583096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 S MAIN ST STE 1",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541282",
            "telephone_number": "920-846-8187",
            "fax_number": "920-846-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541282",
            "telephone_number": "920-846-8187",
            "fax_number": "920-846-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLARE MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST CLARE MEMORIAL HOSPITAL, INC",
        "enumeration_date": "2007-03-07",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1233-023",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2770-033",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1075-033",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "48740-020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "38426-020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "33603-020",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "39408-020",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "34230-020",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "21763-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI KLEMENS",
            "identifier": "1023092715",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIEBL NPI",
            "identifier": "1639166853",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ELKINS",
            "identifier": "1679613475",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CMH",
            "identifier": "1851477913",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PEREZ",
            "identifier": "1306825872",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BALMADRID",
            "identifier": "1477532943",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BHATOYA",
            "identifier": "1811906555",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "community_memorial_hospital_transitions_of_care2201223@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "835 S Main St",
            "address_2": "Suite 1",
            "city": "Oconto Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541541282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St Clare Memorial Hospital Oconto Falls Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Clare Memorial Hospital Oconto Falls Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oconto Falls, WI

Sources for this page

Verify at the official NPI Registry.