ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCIS (NPI# 1891130472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891130472 |
| Entity Type | Organization |
| Organization Name | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCIS |
| Other Organization Name | PREVEA HEALTH EMPLOYER SERVICES |
| Practice Address |
1020 S Taylor Dr Sheboygan WI 53081-4773 |
| Practice Telephone | 9204964700 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-14 |
| Authorized Official Name | ANDREW J BAGNALL (PRESIDENT AND CEO) |
| Authorized Official Telephone | 9204964700 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF ST FRANCIS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Prevea Health Employer Services | Doing Business As Name - Organization |
| Street Address |
1020 S TAYLOR DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-4773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760565816 | George H Bullard | Dentist | 1020 S Taylor Dr, Sheboygan, WI 53081-4773 | 2006-10-23 |
| 1790057560 | Mary S. Schad | Nurse Practitioner | 1020 S Taylor Dr, Sheboygan, WI 53081-4773 | 2012-02-08 |
| 1619050770 | Bullard Childrens Dentistry | Dentist | 1020 S Taylor Dr, Sheboygan, WI 53081-4773 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104044395 | Connie Lee Worm | Nurse Practitioner | 2108 Kohler Memorial Dr, Sheboygan, WI 53081-3100 | 2007-04-23 |
| 1235252339 | Annette Vonfrankenberg | Nurse Practitioner | 924 N Taylor Dr, Sheboygan, WI 53081-4202 | 2007-04-06 |
| 1316073836 | Karen S Lim | Nurse Practitioner | 1721 Saemann Ave, Sheboygan, WI 53081 | 2007-02-26 |
| 1922636877 | Kelly Lauren Leist | Nurse Practitioner | 1902 Mead Ave, Sheboygan, WI 53081-6140 | 2020-03-27 |
| 1154961050 | Stephanie L Holschbach | Nurse Practitioner | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2020-01-09 |
| 1568017424 | John Hernandez | Nurse Practitioner | 1721 Saemann Ave, Sheboygan, WI 53081-2342 | 2019-08-07 |
| 1962064436 | Courtney F Klatt | Nurse Practitioner | 1902 Mead Ave, Sheboygan, WI 53081-6140 | 2019-07-03 |
| 1891259917 | Debra A Wollert | Nurse Practitioner | 3711 S Taylor Dr, Sheboygan, WI 53081-8495 | 2019-01-23 |
| 1386180362 | Amy Sue Gumieny | Nurse Practitioner | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2017-01-13 |
| 1508319344 | Allison Schmitt | Nurse Practitioner | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2016-07-28 |
| Find all providers in SHEBOYGAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.