ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
NPI 1013175306
Clinic/Center - Multi-Specialty in Appleton, WI

Active since May 23, 2008CLIA 52D0397506 · Waiver
3329 N RICHMOND ST, APPLETON, WI 54911(920) 380-2715 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Mar 27, 2023, Aug 5, 2020 and 3 more (6 updates tracked since 2017).

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 1013175306), doing business as Ascension Medical Group, is a healthcare organization registered as a multi-specialty in Appleton, Wisconsin and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists David Jirovec, Sr Finance Director - Medical Group, as its authorized official.

NPPES Registry Identity

NPI1013175306
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Location Address3329 N RICHMOND STAppleton, WI 54911
Mailing Address3329 N Richmond StAppleton, WI 54911-1063 · (920) 738-2000
Organization SubpartNo
Authorized OfficialDavid JirovecSr Finance Director - Medical Group · (715) 347-6655
Enumeration DateMay 23, 2008
Last NPPES UpdateMay 19, 20266 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1013175306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
3329 N RICHMOND ST, Appleton, WI 54911

Other Names 1

Doing Business AsAscension Medical Group

Other Identifiers 1

Medicaid32752000WI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 52D0397506

Ascension Medical Group- Fox Valley Wisconsin Inc D/B/A Ascension Medical Group · Appleton, WI
Active · expires May 9, 2027
CLIA Number52D0397506
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorDr. David J. Dedrick
Laboratory Phone(920) 727-8115
Laboratory LocationAscension Medical Group- Fox Valley Wisconsin Inc D/B/A Ascension Medical Group3329 N Richmond St, Appleton, WI 54911
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Pharmacy (Long Term Care Pharmacy)
3329 N RICHMOND ST
APPLETON, WI 54911
Family Medicine
3329 N RICHMOND ST
APPLETON, WI 54911
Physician Assistant
3329 N RICHMOND ST
APPLETON, WI 54911
Family Medicine
3329 N RICHMOND ST
APPLETON, WI 54911
Nurse Practitioner (Family)
3329 N RICHMOND ST
APPLETON, WI 54911
Family Medicine
3329 N RICHMOND ST
APPLETON, WI 54911
Nurse Practitioner
3329 N RICHMOND ST
APPLETON, WI 54911
Family Medicine
3329 N RICHMOND ST
APPLETON, WI 54911

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 1013175306. It was assigned to this organization in the NPPES registry on May 23, 2008. The provider is doing business as Ascension Medical Group.

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

Ascension Medical Group-Fox Valley Wisconsin, Inc is located at 3329 N Richmond St, Appleton, WI 54911. The listed phone number is (920) 380-2715.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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

Yes. A Certificate of Waiver (number 52D0397506) is associated with this NPI, valid through May 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ascension Medical Group-Fox Valley Wisconsin, Inc accept?

Health plans from Security Health Plan list Ascension Medical Group-Fox Valley Wisconsin, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ascension Medical Group-Fox Valley Wisconsin, Inc was last updated on May 19, 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.