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

Active since April 08, 2006CLIA 52D0662050 · Accreditation
744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 445-7272(920) 433-6090 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 25, 2023, Jul 6, 2023, Jun 6, 2023 and 20 more (23 updates tracked since 2019).

About Bellin Memorial Hospital Inc NPPES

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

BELLIN MEMORIAL HOSPITAL INC (NPI 1033172390), doing business as Bellin Health, is a healthcare organization registered as a family medicine in Green Bay, Wisconsin and active in the NPI registry since April 2006. The organization holds an CLIA Accreditation certificate valid through February 27, 2027, maintains 48 additional practice locations, and lists Abby Julia Engebose, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1033172390
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBELLIN MEMORIAL HOSPITAL INC
Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289
Phone(920) 445-7272
Fax(920) 433-6090
Organization SubpartNo
Authorized OfficialAbby Julia EngeboseCredentialing Specialist · (920) 433-7860
Enumeration DateApril 8, 2006
Last NPPES UpdateJuly 28, 202523 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1033172390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedObstetrics & Gynecology · Gynecologic OncologyTaxonomy 207VX0201X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
744 S WEBSTER AVE, Green Bay, WI 54301
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Other Names 1

Doing Business AsBellin Health

Secondary Practice Locations 48

Location 1440 Woodward AveIron Mountain, MI 49801-4631 · Phone (906) 776-9040 · Fax (906) 774-7279
Location 2831 Parker AveAlgoma, WI 54201-1808 · Phone (920) 487-3676 · Fax (920) 487-3084
Location 3401 W Mill StBonduel, WI 54107-9246 · Phone (715) 758-2167 · Fax (715) 758-6701
Location 4964 W Ryan St Ste BBrillion, WI 54110-1077 · Phone (920) 756-2055 · Fax (920) 756-3350
Location 5610 S Lincoln RdEscanaba, MI 49829-1215 · Phone (906) 786-6488 · Fax (906) 786-6409
Location 6212 E B StIron Mountain, MI 49801-3411 · Phone (906) 776-9040 · Fax (906) 774-5950
Location 7555 Redbird CirDE Pere, WI 54115-7977 · Phone (920) 338-6870 · Fax (920) 338-6879
Location 81800 Lawrence DrDE Pere, WI 54115-9108 · Phone (920) 983-3220 · Fax (920) 983-3226
Location 9595 County Road RDenmark, WI 54208-9120 · Phone (920) 863-2005 · Fax (920) 863-3508
Location 101265 Lombardi AveGreen Bay, WI 54304-3927 · Phone (920) 445-7222 · Fax (920) 445-7289
Location 113100 Ams BlvdGreen Bay, WI 54313-9700 · Phone (920) 445-7222 · Fax (920) 445-7289
Location 122155 Holmgren WayGreen Bay, WI 54304-4605 · Phone (920) 445-7222 · Fax (920) 445-7289
Location 132020 Riverside Dr Ste 200Green Bay, WI 54301-2300 · Phone (920) 433-9920 · Fax (920) 433-9927
Location 142641 Development DrGreen Bay, WI 54311-4240 · Phone (920) 338-6868 · Fax (920) 338-6869
Location 151580 Commanche AveGreen Bay, WI 54313-5751 · Phone (920) 435-8326 · Fax (920) 430-4659
Location 161555 Green Bay PlzGreen Bay, WI 54304-2143 · Phone (920) 445-7222 · Fax (920) 445-7289
Location 17704 S Webster Ave Ste 200Green Bay, WI 54301-3531 · Phone (920) 433-3456 · Fax (920) 433-3499
Location 18519 S Monroe AveGreen Bay, WI 54301-4017 · Phone (920) 435-6601 · Fax (920) 436-3840
Location 19720 S VanBuren St, Suite 303Green Bay, WI 54301-3538 · Phone (920) 433-9621 · Fax (920) 433-0565
Location 201976 Lime Kiln Rd Ste 125Green Bay, WI 54311-4420 · Phone (920) 406-9865 · Fax (920) 406-9867
Location 212015 Shawano AveGreen Bay, WI 54303-2606 · Phone (920) 445-7222 · Fax (920) 445-7289
Location 222223 Lime Kiln RdGreen Bay, WI 54311-6213 · Phone (920) 430-4770 · Fax (920) 430-4679
Location 231516 Washington StTwo Rivers, WI 54241-3045 · Phone (920) 793-4573 · Fax (920) 793-1010
Location 241779 Main StGreen Bay, WI 54302-3250 · Phone (920) 465-0181 · Fax (920) 465-3916
Location 25126 S 25th St Ste BEscanaba, MI 49829-1364 · Phone (906) 789-3701 · Fax (906) 233-1934
Location 261414 W Fair Ave Ste 390Marquette, MI 49855-5407 · Phone (906) 225-6701 · Fax (906) 225-6772
Location 27933 Waube LnGreen Bay, WI 54304-5521 · Phone (920) 548-9500
Location 28311 N 3rd AveSturgeon Bay, WI 54235-2401 · Phone (920) 743-0255 · Fax (920) 743-0258
Location 29307 Manor DrSuring, WI 54174-9182 · Phone (920) 842-2144 · Fax (920) 842-4111
Location 30555 Quality CtWrightstown, WI 54180-9006 · Phone (920) 532-6320 · Fax (920) 532-0728
Location 311580 Commanche Ave Ste 102Green Bay, WI 54313-5751 · Phone (920) 435-8326 · Fax (920) 430-4659
Location 322801 S Webster AveGreen Bay, WI 54301-2878 · Phone (920) 430-4880
Location 33725 S Webster Ave Ste 201Green Bay, WI 54301-3500 · Phone (920) 430-7100 · Fax (920) 430-7114
Location 34923 Eliza StGreen Bay, WI 54301-3234 · Phone (920) 965-4800 · Fax (920) 965-4801
Location 351970 S Ridge RdGreen Bay, WI 54304-4125 · Phone (920) 430-4888 · Fax (920) 430-4889
Location 361630 Commanche AveGreen Bay, WI 54313-5753 · Phone (920) 430-4700 · Fax (920) 430-4747
Location 373263 Eaton RdGreen Bay, WI 54311-6830 · Phone (920) 433-6700 · Fax (920) 433-6779
Location 38704 S Webster AveGreen Bay, WI 54301-3528 · Phone (920) 433-3410 · Fax (920) 433-3419
Location 392714 Riverside DriveGreen Bay, WI 54313-6715 · Phone (920) 430-4760 · Fax (920) 430-4774
Location 40704 S Webster Ave Ste 501Green Bay, WI 54301-3528 · Phone (920) 433-6050 · Fax (920) 433-6049
Location 41720 S VanBuren St, Suite 101Green Bay, WI 54301-3504 · Phone (920) 468-3444 · Fax (920) 432-6313
Location 42720 S VanBuren St, Suite 201Green Bay, WI 54301-3534 · Phone (920) 433-7488 · Fax (920) 433-7439
Location 431010 University AveGreen Bay, WI 54302-1481 · Phone (920) 445-7222 · Fax (920) 445-7289
Location 442740 W Mason StGreen Bay, WI 54303-4966 · Phone (920) 445-7222 · Fax (920) 445-7289
Location 451320 Main StMarinette, WI 54143-2425 · Phone (920) 445-7222 · Fax (920) 445-7289
Location 463200 Shore DrMarinette, WI 54143-4202 · Phone (715) 732-1392 · Fax (715) 732-1393
Location 47723 S Wisconsin StPulaski, WI 54162-9303 · Phone (920) 822-1100 · Fax (920) 822-5731
Location 48405 Commercial StSeymour, WI 54165-8474 · Phone (920) 833-2318 · Fax (920) 833-6883

Other Identifiers 3

Other000000215WI · Wi Medicare
Other0P38340MI · Mi Medicare
Other243966Us Department Of Health And Human Services Fda Mammography Certification

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bellin Memorial Hospital Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

931

Medicare enrollment records show 931 clinicians reassign Medicare billing to Bellin Memorial Hospital Inc, which bills Medicare for the services they deliver. Of these, 139 practice at this address and 549 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 51

Nurse Practitioner239
Physical Therapist in Private Practice127
Family Practice73
Clinical Social Worker42
Certified Registered Nurse Anesthetist (CRNA)41
Mental Health Counselor36
Neurology28
Cardiovascular Disease (Cardiology)24
43 other specialties321

Nearest to this location (20)

See all 931
Manar Al Shahrouri, MD
Pulmonary Disease
NPI 1093731382
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3706
✔ PECOS✔ Accepts MedicareSame address
Hannah Alsteen, FNP-C
Nurse Practitioner
NPI 1649823881
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-7440
✔ PECOS✔ Accepts MedicareSame address
Kyle Anderson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205580313
744 S WEBSTER AVE
Green Bay, WI 54301
(715) 495-4001
✔ PECOS✔ Accepts MedicareSame address
Lukasz Babiarz, M.D., M.B.A.
Diagnostic Radiology
NPI 1346476066
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3500
✔ PECOS✔ Accepts MedicareSame address
Chandler Barnes, SLP
Qualified Speech Language Pathologist
NPI 1306489752
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-7822
Same address
Dennis Beck, MD
Orthopedic Surgery
NPI 1821091539
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3500
✔ PECOS✔ Accepts MedicareSame address
Sarah Beilfuss, OT
Occupational Therapist in Private Practice
NPI 1841215811
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-7822
Same address
Donnevan Blake, M.D.
Cardiovascular Disease (Cardiology)
NPI 1801854898
744 S WEBSTER AVE FL 2
Green Bay, WI 54301
(920) 433-3640
✔ PECOS✔ Accepts MedicareSame address
Daniel Brannen, DO
Sports Medicine
NPI 1922687409
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 430-4888
✔ PECOS✔ Accepts MedicareSame address
Mackenzie Delzer, MD
Obstetrics/Gynecology
NPI 1669053781
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3500
✔ PECOS✔ Accepts MedicareSame address
Brittany Depietropaolo, D-PT
Physical Therapist in Private Practice
NPI 1649784125
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-7995
Same address
Ashley Diedrich, AA
Anesthesiology Assistant
NPI 1386748911
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3605
✔ Accepts MedicareSame address
Ethan Emmons, MD
Sleep Medicine
NPI 1265416325
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-7451
✔ PECOS✔ Accepts MedicareSame address
Rudolph Evonich, M.D.
Cardiac Electrophysiology
NPI 1205909967
744 S WEBSTER AVE FL 2
Green Bay, WI 54301
(920) 433-3640
✔ PECOS✔ Accepts MedicareSame address
Thomas Fredeen, M.D.
Pathology
NPI 1255370789
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3653
✔ PECOSSame address
Rance Hafner, MD
Family Practice
NPI 1841274669
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3500
✔ PECOS✔ Accepts MedicareSame address
Dana Kennedy, RD
Registered Dietitian or Nutrition Professional
NPI 1720895402
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-6057
✔ Accepts MedicareSame address
Michael Landrum, M.D.
Infectious Disease
NPI 1932280104
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3456
✔ PECOS✔ Accepts MedicareSame address
Hazel Mathes, D.O.
Physical Medicine and Rehabilitation
NPI 1689028243
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3655
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Paulson, MD
Pediatric Medicine
NPI 1598847840
744 S WEBSTER AVE
Green Bay, WI 54301
(920) 433-3500
✔ PECOSSame address
See all 931 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Accreditation 52D0662050

Bellin Memorial Hospital · Green Bay, WI
Active · expires Feb 27, 2027
CLIA Number52D0662050
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Nathanial I. Kieler
Laboratory Phone(920) 433-3653
Laboratory LocationBellin Memorial Hospital744 S Webster Ave, Green Bay, WI 54301
CLIA data matches this NPI record on: Address 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.

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Bellin Memorial Hospital Inc carries, from the Medicare DMEPOS supplier directory.

Bellin Memorial Hospital Inc

DMEPOS supplier · Green Bay, WI
✔

Accepts Medicare assignment

Bellin Memorial Hospital Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20410151
Medicare Participant SinceNovember 23, 2020
Supplier Location744 S Webster AveGreen Bay, WI 54301
Phone(920) 433-3641
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Bellin Memorial Hospital Inc's NPI number?

The NPI number for Bellin Memorial Hospital Inc is 1033172390. It was assigned to this organization in the NPPES registry on April 8, 2006. The provider is doing business as Bellin Health.

Where is Bellin Memorial Hospital Inc located?

Bellin Memorial Hospital Inc is located at 744 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 445-7272.

What is Bellin Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bellin Memorial Hospital Inc enrolled in Medicare?

Yes. Bellin Memorial Hospital Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bellin Memorial Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 931 clinicians in 51 Medicare specialties reassign their Medicare billing to Bellin Memorial Hospital Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (239), Physical Therapist in Private Practice (127) and Family Practice (73). Of these, 139 practice at this address and 549 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bellin Memorial Hospital Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Bellin Memorial Hospital Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Bellin Memorial Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 52D0662050) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bellin Memorial Hospital Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource (Common Ground Healthcare) and 1 other insurer list Bellin Memorial Hospital 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 Bellin Memorial Hospital Inc was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.