ASCENSION NE WISCONSIN-ST ELIZABETH CAMPUS
NPI 1023026580
Skilled Nursing Facility in Appleton, WI

NPI Status: Active since August 03, 2006

Contact Information

1506 S ONEIDA ST
APPLETON, WI
ZIP 54915
Phone: (920) 720-1464
Fax: (920) 720-1728

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 52D0397482
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About ASCENSION NE WISCONSIN-ST ELIZABETH CAMPUS

This page provides the complete NPI Profile along with additional information for Ascension Ne Wisconsin-st Elizabeth Campus, a provider established in Appleton, Wisconsin operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1023026580 assigned on August 2006. The practitioner's primary taxonomy code is 314000000X with license number 3225 (WI). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Ascension Ne Wisconsin-st Elizabeth Campus. The authorized official of this NPI record is Michael Mccullough (Cfo)

NPI
1023026580
Provider Legal Name
ASCENSION NE WISCONSIN, INC
Other Organization Name
ASCENSION NE WISCONSIN-ST ELIZABETH CAMPUS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1506 S ONEIDA ST APPLETON, WI 54915
Location Phone
(920) 720-1464
Location Fax
(920) 720-1728
Mailing Address
1506 S ONEIDA ST APPLETON, WI 54915
Mailing Phone
(920) 720-1464
Mailing Fax
(920) 720-1728
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-03-2006
Last Update Date
12-30-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
3225
License State
WI
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL MCCULLOUGH

Authorized Official Title
CFO
Authorized Official Phone
(414) 465-3736

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D0397482
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. DAVID J. DEDRICK
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Ascension Ne Wisconsin-st Elizabeth Campus on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for ASCENSION NE WISCONSIN-ST ELIZABETH CAMPUS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023026580, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 0 + 2 + 1 + 2 + 5 + 1 + 6 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1023026580.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Pulmonary Disease)
1506 S ONEIDA ST
APPLETON, WI 54915
Internal Medicine (Cardiovascular Disease)
1506 S ONEIDA ST
APPLETON, WI 54915
Pediatrics (Developmental - Behavioral Pediatrics)
1506 S ONEIDA ST
APPLETON, WI 54915
Pediatrics
1506 S ONEIDA ST
APPLETON, WI 54915
Internal Medicine (Pulmonary Disease)
1506 S ONEIDA ST
APPLETON, WI 54915
Internal Medicine (Cardiovascular Disease)
1506 S ONEIDA ST
APPLETON, WI 54915
Pediatrics
1506 S ONEIDA ST
APPLETON, WI 54915
Internal Medicine (Cardiovascular Disease)
1506 S ONEIDA ST
APPLETON, WI 54915
Nurse Practitioner
1506 S ONEIDA ST
APPLETON, WI 54915
Nurse Practitioner
1506 S ONEIDA ST
APPLETON, WI 54915
Nurse Practitioner
1506 S ONEIDA ST
APPLETON, WI 54915
Anesthesiology (Pain Medicine)
1506 S ONEIDA ST
APPLETON, WI 54915
Anesthesiology
1506 S ONEIDA ST
APPLETON, WI 54915
Anesthesiology
1506 S ONEIDA ST
APPLETON, WI 54915
Anesthesiology
1506 S ONEIDA ST
APPLETON, WI 54915
Anesthesiology
1506 S ONEIDA ST
APPLETON, WI 54915
Pathology (Anatomic Pathology & Clinical Pathology)
1506 S ONEIDA ST
APPLETON, WI 54915
Physical Therapist
1506 S ONEIDA ST
APPLETON, WI 54915
Physical Therapist
1506 S ONEIDA ST
APPLETON, WI 54915
Physical Therapist
1506 S ONEIDA ST
APPLETON, WI 54915

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023026580, enumerated as an "organization" on August 03, 2006.

The provider is located at 1506 S ONEIDA ST APPLETON, WI 54915 and the phone number is (920) 720-1464.

Skilled Nursing Facility with taxonomy code 314000000X.