NPIMap

Organization Active NPI

St. Nicholas Hospital-Sisters of the Third Order of St Francis

Doing business as St Nicholas Hospital

  • General Acute Care Hospital
  • Sheboygan, WI
National Provider Identifier
1730184342
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
37 Issued in WI
Legal business name
ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS
Doing business as
St Nicholas Hospital
Practice address
3100 Superior Ave
Sheboygan, WI 53081-1948
Phone
(920) 459-8300
Fax
(920) 452-8336
NPI assigned
Jun 20, 2005
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 37 WI Primary

Addresses

Primary practice location

3100 Superior Ave
Sheboygan, WI 53081-1948

Mailing address

3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (920) 459-8300

Other names 1

  • St Nicholas Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stvincent_stmary_stnicholas_stclare@ewd.direct.org Direct

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040202001172 WI Part B Supplier - Clinic/Group Practice 8325931652 Receives reassigned benefits from 706 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kohler, WI; Sheboygan, WI; Oostburg, WI; Plymouth, WI
O20060221000418 WI Part A Provider - Hospital 8325931652 1 other NPI on this enrollment
Practice locations: Sheboygan, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730184342. Details of each certification follow.

Hospital certification: CCN 520044

Legal name
ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS
Doing business as
ST. NICHOLAS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 30, 2012
Beds
185
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
3100 Superior Ave
Sheboygan, WI 53081-1948
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 3

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
St Nicholas HospitalCCN 520044 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

795 Woodlake Rd
Ste B
Kohler, WI 53044
Phone (920) 783-3160

825 Walton Dr
Plymouth, WI 53073
Phone (920) 889-0302

W3718 South Dr
#21
Plymouth, WI 53073

1337 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 452-4688

1621 N Taylor Dr
Ste 200
Sheboygan, WI 53081
Phone (920) 458-5864

3100 Wilgus Ave
Sheboygan, WI 53081
Phone (920) 458-4311

3425 Superior Ave
Sheboygan, WI 53081
Phone (920) 458-5557

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
Marla Z Wolfert Individual Corporate DirectorBoard Member Nov 1, 2021
David Vandewater Individual Corporate DirectorBoard Member Nov 1, 2020
Todd Smart Individual Corporate DirectorBoard Member Jun 1, 2021
Maureen Fagan Individual Corporate Director Nov 1, 2016
John Brotz Individual Corporate Director Nov 1, 2016
Hospital Sisters Services Inc Organization, Springfield, IL Operational/Managerial Control Dec 10, 2010
Elizabeth Borgen Individual Corporate DirectorBoard Member Nov 1, 2022
D'Ana Norlander Individual Corporate DirectorBoard Member Nov 1, 2022
John Wagner Individual Corporate OfficerCoo Oct 15, 2022
Corporate DirectorPresident/Ceo Oct 15, 2022
Damond Williams Boatwright Individual Corporate OfficerPresident/Ceo Jul 19, 2021
Stephen John Werner Individual Corporate DirectorBoard Member Nov 1, 2018
Robert Erickson Individual Corporate OfficerPresident/Ceo Apr 29, 2024
Corporate DirectorPresident/Ceo Apr 29, 2024
W-2 Managing EmployeePresident/Ceo Apr 29, 2024
Lindsay a Harrison-Eirich Individual Corporate DirectorBoard Member Nov 1, 2018
Mark Gumm Individual Corporate DirectorBoard Member Nov 1, 2021
Travis Pitzen Individual Corporate OfficerDirector of Finance Sep 30, 2024
Corporate DirectorDirector of Finance Sep 30, 2024

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 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 233

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.

View all 233

Affiliated clinicians 216

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

View all 216

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1730184342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SUPERIOR AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811948",
            "telephone_number": "920-459-8300",
            "fax_number": "920-452-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SUPERIOR AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811948",
            "telephone_number": "920-459-8300",
            "fax_number": "920-452-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WI",
            "license": "37",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stvincent_stmary_stnicholas_stclare@ewd.direct.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3100 Superior Ave",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530811948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St Nicholas Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Nicholas Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.