NPIMap

Organization Active NPI

Agrace Hospicecare, Incorporated

  • Community Based Hospice Care Agency
  • Fitchburg, WI
National Provider Identifier
1861503534
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AGRACE HOSPICECARE, INCORPORATED
Practice address
5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395
Phone
(608) 276-4660
Fax
(608) 327-7268
NPI assigned
Aug 31, 2006
Last updated
Jun 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Ms. Lynne Myers
Title
Ceo
Phone
(608) 276-4660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary
Inpatient Hospice 315D00000X NU

Addresses

Primary practice location

5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395

Mailing address

5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395
Phone (608) 276-4660

Other identifiers 1

IdentifierTypeStateIssuer
43180100MedicaidWI

Other names 1

  • HospiceCare Inc. Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070522000195 WI Part A Provider - Hospice 4981590932 Practice locations: Janesville, WI; Fitchburg, WI; Baraboo, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861503534. Details of each certification follow.

Hospice certification: CCN 521505

Legal name
AGRACE HOSPICECARE INCORPORATED
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 18, 1985
Last certification
Dec 3, 2020
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Oct 19, 1978 in WI
Enrollment address
5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395

Care Compare: Hospice

Medicare Care Compare
Listed as
Agrace HospicecareCCN 521505 · All quality measures
Ownership
Non-Profit
Certified
Sep 18, 1985
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0916941Agrace Hospicecare5395 E Cheryl Parkway, Madison, WI 53711Certificate of waiverJul 4, 2028

National Provider Directory

National Provider Directory

Locations

7290 Argus Dr
Rockford, IL 61107
Phone (815) 394-1530

1670 South Blvd
Baraboo, WI 53913
Phone (608) 276-4660

2901 N Wright Rd
Janesville, WI 53546
Phone (608) 276-4660

1227 Corporate Center Dr
Ste 202
Oconomowoc, WI 53066
Phone (608) 276-4660

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Mark Greene Individual Corporate Director Apr 24, 2025
Aimee M Becker Individual Corporate Director Apr 24, 2025
Terry L Murawski Individual Corporate Director Apr 24, 2025
Steve Ditullio Individual Corporate Director Jun 22, 2017
Matthew Richards Individual Corporate Director Apr 30, 2020
Lisa Olson Individual Corporate Director Mar 23, 2023
Tim K Size Individual Corporate Director Apr 25, 2019
Louis C Bernhardt Individual Corporate Director Apr 23, 2015
Jane T Wiedenbeck Individual Corporate DirectorTreasurer Jun 22, 2017
Gabe Doyle Individual Corporate Director Jun 27, 2024
Jennifer Maurer Individual Corporate OfficerCfo Jan 6, 2014
Kenneth D Thompson Individual Corporate DirectorSecretary Apr 18, 2013
Lynn M Sexten Individual Corporate OfficerCeo & President Dec 31, 2017
W-2 Managing EmployeeCeo & President Dec 31, 2017 100%
Kelly Ritchie Individual Corporate Director Apr 30, 2020
Jonathan B Jaffery Individual Corporate DirectorVice Chair Jun 22, 2017
Mary Bonte Spath Individual Corporate Director Apr 27, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 16

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 16

Affiliated clinicians 394

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

View all 394

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1861503534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 E CHERYL PKWY",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115395",
            "telephone_number": "608-276-4660",
            "fax_number": "608-327-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 E CHERYL PKWY",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115395",
            "telephone_number": "608-276-4660",
            "fax_number": "608-327-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGRACE HOSPICECARE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-276-4660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43180100",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HospiceCare Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "HospiceCare Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fitchburg, WI

Sources for this page

Verify at the official NPI Registry.