NPIMap

Organization Active NPI

St Vincent Hospital-Hospital Sisters-Third Order of St Francis

Doing business as Prevea Health

  • Durable Medical Equipment & Medical Supplies
  • De Pere, WI
National Provider Identifier
1649409640
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Doing business as
Prevea Health
Prevea Health-East DePere DME Supplier
Practice address
3860 Monroe Rd
De Pere, WI 54115-8399
Phone
(920) 496-4700
NPI assigned
Jul 11, 2009
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Amy Crouch
Title
Cfo Wi Market
Phone
(920) 496-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

3860 Monroe Rd
De Pere, WI 54115-8399

Mailing address

PO Box 19070
Green Bay, WI 54307-9070
Phone (920) 496-4700

Other names 2

  • Prevea Health Doing business as
  • Prevea Health-East DePere DME Supplier Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prevea_transitions_of_care2201213@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930036922 WI DME Supplier - Multi-Specialty - PhysicianDME Supplier - Physician - Physical and Rehabilitation 5799694675 Practice locations: De Pere, WI

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0394405Prevea Health - East de Pere3860 Monroe Rd, De Pere, WI 54115AccreditationOct 27, 2026

National Provider Directory

National Provider Directory
Part of
St Vincent Hospital Physici

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Door County Medical CenterSturgeon Bay, WI, CCN 521358 Hospital Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center Swing BedSturgeon Bay, WI, CCN 52Z358 Hospital Operational/Managerial Control (40%) Nov 1, 2016
Pete and Jelaine Horton CenterSturgeon Bay, WI, CCN 525377 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 28, 2016
Feb 14, 2025
UnityDe Pere, WI, CCN 521503 Hospice 5% Or Greater Direct Ownership Interest (45%)
Limited Partnership Interest (45%)
Operational/Managerial Control (45%)		 Oct 1, 1992
Oct 1, 1992
Oct 1, 1992
Door County Medical Center Sturgeon BaySturgeon Bay, WI, CCN 528531 Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center Sister BaySister Bay, WI, CCN 528532 Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center AlgomaAlgoma, WI, CCN 528530 Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
Door County Medical Center Washington IslandWashington Island, WI, CCN 528515 Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016
DirectcareSturgeon Bay, WI, CCN 528654 Rural health clinic Operational/Managerial Control (40%) Nov 1, 2016

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1247270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1649409640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19070",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543079070",
            "telephone_number": "920-496-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 MONROE RD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541158399",
            "telephone_number": "920-496-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS",
        "enumeration_date": "2009-07-11",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CFO WI MARKET",
        "authorized_official_telephone_number": "920-496-4700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prevea_transitions_of_care2201213@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cda/ccd/txt",
            "address_1": "3860 Monroe Rd",
            "city": "DE Pere",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541158399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prevea Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prevea Health-East DePere DME Supplier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in De Pere, WI

Sources for this page

Verify at the official NPI Registry.