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ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
NPI 1003069428
Clinic/Center - Occupational Medicine in Menasha, WI

Active since October 29, 2008CLIA Certified · 3 labs
1186 APPLETON RD, MENASHA, WI 54952(920) 727-8700 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2026, Jan 10, 2025, Mar 27, 2023 and 2 more (5 updates tracked since 2021).

About Ascension Medical Group-fox Valley Wisconsin, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (NPI 1003069428) is a healthcare organization registered as an occupational medicine in Menasha, Wisconsin and active in the NPI registry since October 2008. The organization holds 3 active CLIA laboratory certificates, maintains a secondary practice location in Stevens Point, and lists Donna Owens, Vp-ascension Wi Employer Solutions, as its authorized official.

NPPES Registry Identity

NPI1003069428
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Location Address1186 APPLETON RDMenasha, WI 54952-1906
Mailing Address400 W River Woods PkwyGlendale, WI 53212-1060 · (414) 465-3600
Phone(920) 727-8700
Organization SubpartYes
Authorized OfficialDonna OwensVp-ascension Wi Employer Solutions · (414) 465-3600
Enumeration DateOctober 29, 2008
Last NPPES UpdateMay 18, 20265 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1003069428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
1186 APPLETON RD, Menasha, WI 54952
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Other Names 1

Other NameAscension Medical Group Employer Solutions

Secondary Practice Location 1

Location 15412 US Highway 10 EStevens Point, WI 54482-8559 · Phone (715) 346-5243 · Fax (715) 346-5419

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2008400

Ascension Medical Group- Fox Valley Wisconsin Inc D/B/A Ascension Medical Group · Menasha, WI
Active · expires Jun 9, 2028
CLIA Number52D2008400
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorDr. Anne Prater
Laboratory Phone(920) 831-1700
Laboratory LocationAscension Medical Group- Fox Valley Wisconsin Inc D/B/A Ascension Medical Group1550 Midway Place, Menasha, WI 54952
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 52D0397947

Ascension Medical Group-Fox Valley Wisconsin Inc D/B/A Ascension Medical Group · Menasha, WI
Active · expires May 26, 2027
CLIA Number52D0397947
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorTam Nguyen
Laboratory Phone(920) 727-8120
Laboratory LocationAscension Medical Group-Fox Valley Wisconsin Inc D/B/A Ascension Medical Group1550 Midway Place, Menasha, WI 54952
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 52D0397794

Ascension Medical Group- Fox Valley Wisconsin Inc D/B/A Ascension Medical Group · Menasha, WI
Active · expires Jan 31, 2027
CLIA Number52D0397794
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorDr. David J. Dedrick
Laboratory Phone(920) 727-8115
Laboratory LocationAscension Medical Group- Fox Valley Wisconsin Inc D/B/A Ascension Medical Group1550 Midway Pl, Menasha, WI 54952
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA KASPEREK APNP
Nurse Practitioner
1186 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 727-8733
BRANDEN J KOOIMAN APNP
Nurse Practitioner (Family)
1186 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 727-8700
BRIAN D HARRISON MD
Preventive Medicine (Occupational Medicine)
1186 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 727-8700
MATTHEW J FELDBRUEGGE APNP
Nurse Practitioner (Family)
1186 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 727-8700
KIMBERLY ANN STEVENS APNP
Nurse Practitioner (Family)
1186 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 727-8700
JESSICA SCHMIDT
Specialist/Technologist (Athletic Trainer)
1186 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 727-8700
CHARLES A CAPASSO MD
Preventive Medicine (Occupational Medicine)
1186 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 727-8700
GEORGINE WOOD MSN, RN, FNP-C
Nurse Practitioner
1186 APPLETON RD
MENASHA, WI 54952
Calumet County (920) 727-8700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ascension Medical Group-Fox Valley Wisconsin, Inc's NPI number?

The NPI number for Ascension Medical Group-Fox Valley Wisconsin, Inc is 1003069428. It was assigned to this organization in the NPPES registry on October 29, 2008. The provider is also known as Ascension Medical Group Employer Solutions.

Where is Ascension Medical Group-Fox Valley Wisconsin, Inc located?

Ascension Medical Group-Fox Valley Wisconsin, Inc is located at 1186 Appleton Rd, Menasha, WI 54952. The listed phone number is (920) 727-8700.

What is Ascension Medical Group-Fox Valley Wisconsin, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Ascension Medical Group-Fox Valley Wisconsin, Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ascension Medical Group-Fox Valley Wisconsin, Inc was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.