BELLIN MEMORIAL HOSPITAL INC
NPI 1033172390
Family Medicine in Green Bay, WI

NPI Status: Active since April 08, 2006

Contact Information

744 S WEBSTER AVE
GREEN BAY, WI
ZIP 54301
Phone: (920) 445-7272
Fax: (920) 433-6090

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
Medical Equipment Supplier
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Family Medicine
Accepts Insurance
Medicare Supplier
Accepts Medicare Approved Payment
CLIA Number: 52D0662050
CLIA Cert. Type: Hospital
CLIA Exp. Date: 02-27-2027

About BELLIN MEMORIAL HOSPITAL INC

This page provides the complete NPI Profile along with additional information for Bellin Memorial Hospital Inc, a primary care provider established in Green Bay, Wisconsin operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1033172390 assigned on April 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Bellin Memorial Hospital Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Abby Julia Engebose (Credentialing Specialist)

NPI: 1033172390
Provider Legal Name: BELLIN MEMORIAL HOSPITAL INC
Other Organization Name
Other Name Type: (6)
Entity Type: Organization
Location Address: 744 S WEBSTER AVE GREEN BAY, WI 54301
Location Phone: (920) 445-7272
Location Fax: (920) 433-6090
Mailing Address: PO BOX 22487 GREEN BAY, WI 54305
Mailing Phone: (920) 445-7210
Mailing Fax: (920) 433-6090
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-08-2006
Last Update Date: 07-28-2025
Code Navigator

A primary care provider (PCP) like Bellin Memorial Hospital Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Bellin Memorial Hospital Inc is a medicare supplier with PTAN 20410151 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: External Infusion Pumps and/or Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Parenteral Nutrients or Parenteral Equipment and/or Supplies.

Location Map

Secondary Locations

2740 W Mason St
Green Bay, WI 54303
(920) 445-7222
440 Woodward Ave
Iron Mountain, MI 49801
(906) 776-9040
831 Parker Ave
Algoma, WI 54201
(920) 487-3676
401 W Mill St
Bonduel, WI 54107
(715) 758-2167
964 W Ryan St Ste B
Brillion, WI 54110
(920) 756-2055
610 S Lincoln Rd
Escanaba, MI 49829
(906) 786-6488
212 E B St
Iron Mountain, MI 49801
(906) 776-9040
555 Redbird Cir
DE Pere, WI 54115
(920) 338-6870
1800 Lawrence Dr
DE Pere, WI 54115
(920) 983-3220
595 County Road R
Denmark, WI 54208
(920) 863-2005
1265 Lombardi Ave
Green Bay, WI 54304
(920) 445-7222
3100 Ams Blvd
Green Bay, WI 54313
(920) 445-7222
2155 Holmgren Way
Green Bay, WI 54304
(920) 445-7222
2020 Riverside Dr Ste 200
Green Bay, WI 54301
(920) 433-9920
2641 Development Dr
Green Bay, WI 54311
(920) 338-6868
1580 Commanche Ave
Green Bay, WI 54313
(920) 435-8326
1555 Green Bay Plz
Green Bay, WI 54304
(920) 445-7222
704 S Webster Ave Ste 200
Green Bay, WI 54301
(920) 433-3456
519 S Monroe Ave
Green Bay, WI 54301
(920) 435-6601
720 S VanBuren St Suite 303
Green Bay, WI 54301
(920) 433-9621
1976 Lime Kiln Rd Ste 125
Green Bay, WI 54311
(920) 406-9865
2015 Shawano Ave
Green Bay, WI 54303
(920) 445-7222
2223 Lime Kiln Rd
Green Bay, WI 54311
(920) 430-4770
1516 Washington St
Two Rivers, WI 54241
(920) 793-4573
1779 Main St
Green Bay, WI 54302
(920) 465-0181
126 S 25th St Ste B
Escanaba, MI 49829
(906) 789-3701
1414 W Fair Ave Ste 390
Marquette, MI 49855
(906) 225-6701
933 Waube Ln
Green Bay, WI 54304
(920) 548-9500
311 N 3rd Ave
Sturgeon Bay, WI 54235
(920) 743-0255
307 Manor Dr
Suring, WI 54174
(920) 842-2144
555 Quality Ct
Wrightstown, WI 54180
(920) 532-6320
1580 Commanche Ave Ste 102
Green Bay, WI 54313
(920) 435-8326
2801 S Webster Ave
Green Bay, WI 54301
(920) 430-4880
1414 W Fair Ave Ste 390
Marquette, MI 49855
(906) 225-6701
311 N 3rd Ave
Sturgeon Bay, WI 54235
(920) 445-7222
725 S Webster Ave Ste 201
Green Bay, WI 54301
(920) 430-7100
923 Eliza St
Green Bay, WI 54301
(920) 965-4800
1970 S Ridge Rd
Green Bay, WI 54304
(920) 430-4888
1630 Commanche Ave
Green Bay, WI 54313
(920) 430-4700
3263 Eaton Rd
Green Bay, WI 54311
(920) 433-6700
704 S Webster Ave
Green Bay, WI 54301
(920) 433-3410
2714 Riverside Drive
Green Bay, WI 54313
(920) 430-4760
704 S Webster Ave Ste 501
Green Bay, WI 54301
(920) 433-6050
720 S VanBuren St Suite 101
Green Bay, WI 54301
(920) 468-3444
720 S VanBuren St Suite 201
Green Bay, WI 54301
(920) 433-7488
1320 Main St
Marinette, WI 54143
(920) 445-7222
3200 Shore Dr
Marinette, WI 54143
(715) 732-1392
723 S Wisconsin St
Pulaski, WI 54162
(920) 822-1100
1010 University Ave
Green Bay, WI 54302
(920) 445-7222
405 Commercial St
Seymour, WI 54165
(920) 833-2318

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: Family Medicine
Taxonomy Code: 207Q00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization
1	101YP2500X	Behavioral Health & Social Service Providers	Counselor Professional
2	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine
3	207RC0000X	Allopathic & Osteopathic Physicians	Internal Medicine Cardiovascular Disease
4	207RC0001X	Allopathic & Osteopathic Physicians	Internal Medicine Clinical Cardiac Electrophysiology
5	207RE0101X	Allopathic & Osteopathic Physicians	Internal Medicine Endocrinology, Diabetes & Metabolism
6	207RG0100X	Allopathic & Osteopathic Physicians	Internal Medicine Gastroenterology
7	207V00000X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology
8	207VX0201X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology Gynecologic Oncology
9	207X00000X	Allopathic & Osteopathic Physicians	Orthopaedic Surgery
10	207Y00000X	Allopathic & Osteopathic Physicians	Otolaryngology
11	208000000X	Allopathic & Osteopathic Physicians	Pediatrics
12	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist
13	225X00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist
14	367500000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Anesthetist, Certified Registered

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Anthem Blue Cross and Blue Shield

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

Aspirus Health Plan

HMO Bronze $0 Medical Deductible - HMO
HMO Bronze 10000 - HMO
HMO Bronze 7500 - HMO
HMO Catastrophic 10600 with 3 free PCP visits - HMO
HMO Gold 2000 - HMO
HMO Gold 2700 - HMO
HMO HDHP Silver 5900 - HMO
HMO Silver 6000 - HMO
HMO Silver 6600 - HMO
POS Bronze 7500 - POS

Blue Cross Blue Shield of Michigan Mutual Insurance Company

Blue Cross� Premier PPO Bronze Extra - PPO
Blue Cross� Premier PPO Bronze Saver HSA - PPO
Blue Cross� Premier PPO Bronze Secure - PPO
Blue Cross� Premier PPO Gold - PPO
Blue Cross� Premier PPO Gold Extra - PPO
Blue Cross� Premier PPO Silver - PPO
Blue Cross� Premier PPO Silver Extra - PPO
Blue Cross� Premier PPO Silver Saver HSA - PPO
Blue Cross� Premier PPO Value - PPO

HealthPartners

NE WI Select $3,150 Plus Silver - PPO
NE WI Select $3,800 HSA Silver - PPO
NE WI Select $6,000 Standard Silver - PPO
NE WI Select $6,800 Plus Bronze HSA - PPO
NE WI Select $7,500 Standard Bronze HSA - PPO
NE WI Select $8,400 HSA Bronze - PPO
Oak $1,300 Gold - PPO
Oak $2,000 Standard Gold - PPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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: ABBY JULIA ENGEBOSE
Authorized Official Title: CREDENTIALING SPECIALIST
Authorized Official Phone: (920) 433-7860

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
000000215	OTHER (01)	WI	WI MEDICARE
0P38340	OTHER (01)	MI	MI MEDICARE
243966	OTHER (01)		US DEPARTMENT OF HEALTH AND HUMAN SERVICES FDA MAMMOGRAPHY CERTIFICATION

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN: 20410151
Accepts Medicare Assignment: YES
Specialities List: Pharmacy.
Competitive Bidding: NO

Supplies List

External Infusion Pumps and/or Supplies - An infusion pump is necessary to safely administer the drug
Enteral Nutrients - Enteral formula
Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
Parenteral Nutrients - Parenteral nutrient solutions
Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits

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: 52D0662050
Facility Type: Hospital
Certificate Effective Date: February 28, 2025
Certificate Expiration Date: February 27, 2027
Laboratory Director: DR. NATHANIAL I. KIELER
Certificate Type: Certificate of Accreditation
Certificate Type Description: This is a CLIA certificate is issued to Bellin Memorial Hospital Inc 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.

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 1033172390, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 6

Pos 4

Unchanged

Pos 5

Doubled → 2

Pos 6

Unchanged

Pos 7

Doubled → 4

Pos 8

Unchanged

Pos 9

Doubled → 18 → 1 + 8

Check

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 3 → 6 1 → 2 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 6 + 3 + 2 + 7 + 4 + 3 + 1 + 8 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0

This NPI is valid

The calculated check digit is 0, which matches the last digit of 1033172390.