NPIMap

Organization Active NPI

St Clare Memorial Hospital, Inc

  • Critical Access Hospital
  • Oconto Falls, WI
National Provider Identifier
1851477913
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1012 Issued in WI
Legal business name
ST CLARE MEMORIAL HOSPITAL, INC
Practice address
855 S Main St
Oconto Falls, WI 54154-1241
Phone
(920) 846-3444
Fax
(920) 846-0250
NPI assigned
Oct 31, 2006
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
Critical Access Hospital 282NC0060X 1012 WI Primary

Addresses

Primary practice location

855 S Main St
Oconto Falls, WI 54154-1241

Mailing address

855 S Main St
Oconto Falls, WI 54154-1241
Phone (920) 846-3444

Other identifiers 4

IdentifierTypeStateIssuer
11014100MedicaidWI
1326349135OtherWICMH SB NPI
1019840001OtherWIMEDICAID HMO ID NUMBER
11014110MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address community_memorial_hospital_transitions_of_care2201223@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NY, MA, WA, CA, TX, VA, DC, OH10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20041023000037 WI Part B Supplier - Clinic/Group Practice 0446211395 Receives reassigned benefits from 239 practitioners
6 other NPIs on this enrollment
Practice locations: Green Bay, WI; Suring, WI; Sturgeon Bay, WI; Oconto Falls, WI; Mountain, WI; Marinette, WI; Lena, WI; Gillett, WI
O20050510001159 WI Part A Provider - Critical Access Hospital 0446211395 Receives reassigned benefits from 7 practitioners
3 other NPIs on this enrollment
Practice locations: Oconto Falls, WI
O20240930003469 NY Part B Supplier - Clinic/Group Practice 0446211395 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY
O20241001000385 MA Part B Supplier - Clinic/Group Practice 0446211395 Receives reassigned benefits from 1 practitioner
Practice locations: Boston, MA
O20241004001541 WA Part B Supplier - Clinic/Group Practice 0446211395 Receives reassigned benefits from 1 practitioner
Practice locations: Kirkland, WA
O20241009000746 CA Part B Supplier - Clinic/Group Practice 0446211395 Receives reassigned benefits from 2 practitioners
Practice locations: Oakland, CA; Santa Barbara, CA
O20241009003069 TX Part B Supplier - Clinic/Group Practice 0446211395 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX
O20241104002937 VA Part B Supplier - Clinic/Group Practice 0446211395 Receives reassigned benefits from 2 practitioners
Practice locations: Virginia Beach, VA; Richmond, VA
O20241217000923 DC Part B Supplier - Clinic/Group Practice 0446211395 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA
O20241223003361 OH Part B Supplier - Clinic/Group Practice 0446211395 Receives reassigned benefits from 1 practitioner
Practice locations: Delaware, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851477913. Details of each certification follow.

Hospital certification: CCN 521310

Legal name
ST CLARE MEMORIAL HOSPITAL, INC
Doing business as
HSHS ST. CLARE MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 1, 2001
Last certification
Sep 20, 2023
Beds
15
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
855 S Main St
Oconto Falls, WI 54154-1241
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
HSHS St Clare Memorial HospitalCCN 521310 · All quality measures
Type
Critical Access 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

218 Brazeau Ave
Oconto, WI 54153
Phone (920) 835-1144

835 S Main St
#11
Oconto Falls, WI 54154
Phone (920) 846-8187

835 S Main St
Ste 3
Oconto Falls, WI 54154
Phone (920) 846-8424

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hospital Sisters Health System Inc Organization, Springfield, IL Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Sep 1, 2014 100%
Michael M Nelessen Individual Corporate Director Nov 1, 2018
Ginny Oharrow Individual Corporate DirectorBoard Member Nov 1, 2023
Jan Stranz Individual Corporate Director Feb 1, 1999
Cara B Peterson Individual Corporate DirectorBoard Member Nov 1, 2023
Patricia L Allen Individual Corporate OfficerCfo Jan 1, 2020
Corporate DirectorCfo Jan 1, 2020
Lori Dufek Individual Corporate DirectorBoard Member Nov 1, 2021
Hospital Sisters Services Inc Organization, Springfield, IL Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2014 100%
Ron Christensen Individual Corporate DirectorBoard Member Nov 1, 2023
John Wagner Individual Corporate OfficerCoo Oct 15, 2022
Corporate DirectorCoo Oct 15, 2022
Damond Williams Boatwright Individual Corporate OfficerPresident/Ceo Jul 19, 2021
W-2 Managing EmployeePresident/Ceo Jul 19, 2021 100%
Robert Erickson Individual Corporate OfficerPresident/Ceo Apr 29, 2024
Corporate DirectorPresident/Ceo Apr 29, 2024
Travis Pitzen Individual Corporate DirectorDirector of Finance Sep 30, 2024
W-2 Managing EmployeeDirector of Finance Sep 30, 2024
Stacee Goedtel Birr Individual Corporate DirectorBoard Member Nov 1, 2023

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 34

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

View all 34

Practitioners & affiliated clinicians

Practitioners 298

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 298

Affiliated clinicians 118

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

View all 118

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1851477913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S MAIN ST",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541241",
            "telephone_number": "920-846-3444",
            "fax_number": "920-846-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S MAIN ST",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541241",
            "telephone_number": "920-846-3444",
            "fax_number": "920-846-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLARE MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WI",
            "license": "1012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11014100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMH SB NPI",
            "identifier": "1326349135",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HMO ID NUMBER",
            "identifier": "1019840001",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11014110",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "community_memorial_hospital_transitions_of_care2201223@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "855 S Main St",
            "city": "Oconto Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541541241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oconto Falls, WI

Sources for this page

Verify at the official NPI Registry.