St Nicholas Hospital-Sisters of Third Order of St Francis

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ST NICHOLAS HOSPITAL-SISTERS OF THIRD ORDER OF ST FRANCIS

Practice address

825 Walton Dr
Plymouth, WI 53073-5022

Phone

(920) 892-4322

NPI assigned

Jul 11, 2012

Organization subpart

Yes

Parent organization

ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCISAs reported in NPPES

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

Authorized official

Name

John Wagner

Title

Market Coo

Phone

(920) 496-4700

Specialties & licenses 1

Addresses

Other names 1

• Prevea Health-Plymouth DME Supplier Other name

Electronic endpoints 1

Part of

St Nicholas Hospital-Sisters of Third Order of St Francis

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Prevea Clinic, Inc.

  • Family Medicine Physician
  • Chippewa Falls, WI
  • NPI 1588110969

  Member Of

  NPD member

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1659636108",
    "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": "825 WALTON DR",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530735022",
            "telephone_number": "920-892-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST NICHOLAS HOSPITAL-SISTERS OF THIRD ORDER OF ST FRANCIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCIS",
        "enumeration_date": "2012-07-11",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MARKET COO",
        "authorized_official_telephone_number": "920-496-4700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "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": "825 Walton Dr",
            "city": "Plymouth",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530735022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prevea Health-Plymouth DME Supplier",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Prevea Health-Plymouth DME Supplier",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nancy A Shirk
• Francesca Vittoria Shores, DPT
• Christine Ann Simon
• David R Smith, MD, MPH
• Rebecca Jean Smith, P.T.
• Renee A Staehling, MD
• Madison Stanczak
• Michelle Steiner
• Heather Lynne Steinhardt, RPH
• Marissa Lynn Steinhaus, PA-C

• Durable Medical Equipment & Medical Supplies in Plymouth, WI
• Providers in Plymouth, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.