Organization Active NPI

Mercy One Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Appleton, WI
National Provider Identifier
1780527648
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MERCY ONE TRANSPORT LLC
Practice address
1800 S Madison St
Appleton, WI 54915-1839
Phone
(319) 383-9411
NPI assigned
Apr 13, 2026
Last updated
Apr 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Johnson Serieux MukizaNPI 1942039458
Title
Owner
Phone
(319) 383-9411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1800 S Madison St
Appleton, WI 54915-1839

Mailing address

1800 S Madison St
Appleton, WI 54915-1839
Phone (319) 383-9411

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1780527648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S MADISON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151839",
            "telephone_number": "319-383-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S MADISON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151839",
            "telephone_number": "319-383-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY ONE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "MUKIZA",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_middle_name": "SERIEUX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-383-9411"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.