Ascension Medical Group-Fox Valley Wisconsin, Inc
Organization Active NPI Cardiovascular Disease Physician · Appleton, WI
NPI 1831890177 · NPPES record last updated May 18, 2026
Key facts
- NPI
- 1831890177
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
- Practice address
- 5045 W Grande Market Dr
Appleton, WI 54913-8517 - Phone
- (920) 886-9380
- NPI assigned
- Mar 14, 2023
- Organization subpart
- No
Authorized official
- Name
- David Jirovec
- Title
- Sr Finance Director - Medical Group
- Phone
- (715) 347-6655
Other NPIs with the same Medicare PAC ID 1
Practitioners 629
-
Kristina Rae Almanza, APRN
-
Laura Mae Anderson, APNP
-
Lamin Bangura, M.D.
-
Carrie B. Chapman, M.D.
-
Benjamin Roman Ciske, M.D.
-
Erin Marie Diedrick, PA-C
-
Agei Oben Enoh, MD
-
Megan Lea Froiland, PA-C
-
Katie Geiser, NP
-
Ann M Hefter, AGACNP-BC, MSN, BSN
-
Angela Marie Heinkel, PA-C
-
Hillary Marie Keeler, NP-C
-
Michaela Machurick, ACNPC-AG
-
Thomas McInnis, APNP
-
Daniel Nelson, M.D.
-
Kingston Okrah, MD
-
Rebecca Lynn Ott, APNP
-
Maria Adell Stumo, PA-C
-
Thomas M Tamlyn, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2163824 | Ascension Medical Group-Fox Valley Wisconsin, Inc | Compliance | May 1, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230706002797 | WI | Part B Supplier - Clinic/Group Practice | 0244142420 |
Receives reassigned benefits from 36 practitioners Practice locations: Appleton, WI; Neenah, WI |
National Provider Directory
Locations
1531 S Madison St
#580
Appleton, WI 54915
Phone (920) 730-4411
1531 S Madison St
#350
Appleton, WI 54915
Phone (920) 730-4413
1531 S Madison St
Ste 350
Appleton, WI 54915
Phone (920) 730-4413
1506 S Oneida St
Fl 4
Appleton, WI 54915
5045 W Grande Market Dr
Appleton, WI 54913
Phone (920) 747-0505
1531 S Madison St
Ste 580
Appleton, WI 54915
Phone (920) 730-4411
N9642 County Trunk N
Appleton, WI 54915
Phone (920) 628-1500
708 W Ryan St
Brillion, WI 54110
Phone (920) 756-2151
70 W Green Tree Rd
Clintonville, WI 54929
Phone (715) 823-2194
2601 Fieldcrest Dr
Kaukauna, WI 54130
Phone (920) 462-6100
117 E North Ave
Little Chute, WI 54140
Phone (920) 687-2800
878 W Airport Rd
Menasha, WI 54952
Phone (920) 727-5982
1712 Monroe St
New Holstein, WI 53061
Phone (920) 882-4000
2700 W 9th Ave
Ste 102
Oshkosh, WI 54904
Phone (920) 223-8570
855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643
2700 W 9th Ave
Ste 101
Oshkosh, WI 54904
Phone (920) 223-4970
500 S Oakwood Rd
#3D
Oshkosh, WI 54904
Phone (920) 223-0554
2700 W 9th Ave
Ste 305
Oshkosh, WI 54904
Phone (920) 223-3500
815 S Westhaven Dr
Oshkosh, WI 54904
Phone (920) 426-2440
2725 Jackson St
Oshkosh, WI 54901
Phone (920) 223-7500
N3063 Cty Highway QQ
Waupaca, WI 54981
Phone (715) 602-4046
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
5045 W Grande Market Dr
Appleton, WI 54913-8517
Mailing address
PO Box 850005
Minneapolis, MN 55485-0005
Other names
- AMG Heart & Vascular
Other providers in Appleton, WI
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Ascension NE Wisconsin, Inc
- Ascension NE Wisconsin, Inc
- Ascension NE Wisconsin, Inc
- Ascension NE Wisconsin, Inc
All providers in Appleton, WI · Cardiovascular Disease Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.