Primary Care Associates of Appleton, LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARY CARE ASSOCIATES OF APPLETON, LTD

Practice address

3916 N Intertech CT
Appleton, WI 54913

Phone

(920) 996-1046

Fax

(920) 996-1054

NPI assigned

Jul 10, 2006

Last updated

Apr 30, 2025By 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

Greg Henn

Title

Ceo

Phone

(920) 996-1046

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 32

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.

• Merici A Awe, MD

  • Family Medicine Physician
  • Appleton, WI
  • NPI 1225083488
  Medicare reassignment Care Compare group NPD
• Nicholas James Brice, PA

  • Physician Assistant
  • Appleton, WI
  • NPI 1699262378
  Medicare reassignment Care Compare group NPD
• Brandon John Bukovitz, MD

  • Internal Medicine Physician
  • Appleton, WI
  • NPI 1831768399
  Medicare reassignment Care Compare group NPD
• David J Cupp, MD

  • Family Medicine Physician
  • Appleton, WI
  • NPI 1184373789
  Medicare reassignment Care Compare group NPD
• Aaron S Douglas, MD

  • Family Medicine Physician
  • Appleton, WI
  • NPI 1346252442
  Medicare reassignment Care Compare group NPD
• Sonya R Eiben, MD

  • Internal Medicine Physician
  • Appleton, WI
  • NPI 1710916812
  Medicare reassignment Care Compare group NPD
• Ashley C Feistel, APNP

  • Nurse Practitioner
  • Appleton, WI
  • NPI 1902547904
  Medicare reassignment Care Compare group NPD
• Tara Lee Frerks, MD

  • Family Medicine Physician
  • Appleton, WI
  • NPI 1932353315
  Medicare reassignment Care Compare group NPD
• Scott Michael Gyorog, MD

  • Internal Medicine Physician
  • Appleton, WI
  • NPI 1235346586

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Jenna Hahn, MD

  • Family Medicine Physician
  • Appleton, WI
  • NPI 1407434541
  Medicare reassignment Care Compare group NPD
• Samuel James Heiks, MD

  • Family Medicine Physician
  • Appleton, WI
  • NPI 1013176312
  Medicare reassignment Care Compare group NPD
• Roderick Landon Hubert, MD

  • Internal Medicine Physician
  • Appleton, WI
  • NPI 1942350947
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1659305654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 N INTERTECH CT",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54913",
            "telephone_number": "920-996-1046",
            "fax_number": "920-996-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 N INTERTECH CT",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54913",
            "telephone_number": "920-996-1046",
            "fax_number": "920-996-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES OF APPLETON, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "HENN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-996-1046"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric E Preissner, SAC-IT
• Premise Health of Wisconsin Medical SC (Kwik Trip Center for Health at Appleton)
• Colleen Prendergast, LMHC
• Ashley Preston, MD
• Prevail Behavioral Health SC
• Primary Eye Care, S.C.
• Primemed Transportation LLC
• PRN Health Services, Inc. (Nurses PRN)
• PRN Home Health & Therapy, LLC
• Proactive Chiropractic S.C.

• Family Medicine Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.