Sheboygan Physicians Group, SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHEBOYGAN PHYSICIANS GROUP, SC

Practice address

2920 Superior Ave
Sheboygan, WI 53081-1944

Phone

(920) 452-6000

Fax

(920) 803-2990

NPI assigned

Apr 10, 2012

Last updated

Oct 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelley Renzelmann

Title

Administrator

Phone

(920) 452-6000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 23

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.

• Abby J Andris, APNP

  • Nurse Practitioner
  • Milwaukee, WI
  • NPI 1851647564
  Medicare reassignment Care Compare group NPD
• Nicholas C Barnes, DO

  • Internal Medicine Physician
  • Sheboygan, WI
  • NPI 1578531976
  Medicare reassignment Care Compare group NPD
• Steven Mark Bettag, MD

  • Medical Oncology Physician
  • Sheboygan, WI
  • NPI 1669529608
  Medicare reassignment Care Compare group NPD
• Theresa Brosnan Schuler, NP

  • Nurse Practitioner
  • Sheboygan, WI
  • NPI 1780635151
  Medicare reassignment Care Compare group NPD
• Amy Jo Clark, APNP

  • Family Nurse Practitioner
  • Sheboygan, WI
  • NPI 1265969356
  Medicare reassignment Care Compare group NPD
• Monica J Demuth, APRN BC NP

  • Family Nurse Practitioner
  • Sheboygan, WI
  • NPI 1932177292
  Medicare reassignment Care Compare group NPD
• Rachael K Falle, NP

  • Adult Health Nurse Practitioner
  • Sheboygan, WI
  • NPI 1174889323
  Medicare reassignment Care Compare group NPD
• Matthew Hemsing, M.D.

  • Internal Medicine Physician
  • Sheboygan, WI
  • NPI 1831552256
  Medicare reassignment Care Compare group NPD
• Michael D Johnson, MD

  • Internal Medicine Physician
  • Sheboygan, WI
  • NPI 1689642845
  Medicare reassignment Care Compare group NPD
• Vytas K Kerpe, MD

  • Internal Medicine Physician
  • Sheboygan, WI
  • NPI 1336109685
  Medicare reassignment Care Compare group NPD
• Freddie J. Mertzig, APNP

  • Gerontology Nurse Practitioner
  • Milwaukee, WI
  • NPI 1922523836
  Medicare reassignment Care Compare group NPD
• Nicole Lynn Steinhardt, FNP

  • Family Nurse Practitioner
  • Sheboygan, WI
  • NPI 1619120136
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1477819902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 SUPERIOR AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811944",
            "telephone_number": "920-452-6000",
            "fax_number": "920-803-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 SUPERIOR AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811944",
            "telephone_number": "920-452-6000",
            "fax_number": "920-803-2990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1621 N Taylor Dr",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530811990",
            "country_code": "US",
            "telephone_number": "920-453-5432",
            "fax_number": "920-452-3594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHEBOYGAN PHYSICIANS GROUP, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2022-10-11",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "RENZELMANN",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-452-6000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheboygan Optical Co. LLC
• Sheboygan Oral and Maxillofacial Assoc LTD
• Sheboygan Orthopaedic Associates SC
• Sheboygan Orthopaedic Associates SC
• Sheboygan Pediatric Associates SC
• Sheboygan Regional Oncology Center, LTD.
• Sheboygan Senior Community, Inc.
• Sheboygan Senior Living, Inc. (The Shores of Sheboygan Assisted Living I)
• Sheboygan SNF Operations LLC
• Sheboygan Surgical Associates, S.C.

• Internal Medicine Physician in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.