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FMC DEPERE WEST
NPI 1053374314
Family Medicine in De Pere, WI

Active since April 08, 2006
1800 LAWRENCE DR, DE PERE, WI 54115(920) 983-3220 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fmc Depere West NPPES

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

FMC DEPERE WEST (NPI 1053374314) is a healthcare organization registered as a family medicine in De Pere, Wisconsin and active in the NPI registry since April 2006. The organization lists Denise K Stroobants, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1053374314
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBELLIN MEMORIAL HOSPITAL INC
Location Address1800 LAWRENCE DRDe Pere, WI 54115-9108
Mailing Address1800 Lawrence DrDe Pere, WI 54115-9108 · (920) 983-3220
Phone(920) 983-3220
Organization SubpartNo
Authorized OfficialDenise K StroobantsCredentialing Specialist · (920) 433-7864
Enumeration DateApril 8, 2006
Last NPPES UpdateOctober 18, 2021
NPPES CertifiedOctober 18, 2021
✔ NPI 1053374314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1800 LAWRENCE DR, De Pere, WI 54115
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Other Names 2

Doing Business AsFmc Depere West
Doing Business AsFmc West Depere

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 CareSource (Common Ground Healthcare).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)

Fmc Depere West is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

873

Medicare enrollment records show 873 clinicians reassign Medicare billing to FMC Depere West, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 544 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 50

Nurse Practitioner224
Physical Therapist in Private Practice118
Family Practice57
Certified Registered Nurse Anesthetist (CRNA)41
Mental Health Counselor35
Clinical Social Worker32
Neurology29
Cardiovascular Disease (Cardiology)23
42 other specialties314

Nearest to this location (20)

See all 873
Michael Hodulik, M.D.
Family Practice
NPI 1295784544
1800 LAWRENCE DR
De Pere, WI 54115
(920) 983-3220
✔ PECOS✔ Accepts MedicareSame address
Susan Huber, MSW LCSW
Clinical Social Worker
NPI 1205853801
1800 LAWRENCE DR
De Pere, WI 54115
(920) 336-1229
✔ PECOS✔ Accepts MedicareSame address
Thomas Komp, DPM
Podiatry
NPI 1265424162
1800 LAWRENCE DR
De Pere, WI 54115
(920) 983-3220
✔ PECOS✔ Accepts MedicareSame address
Triton Krizenesky, MD
Internal Medicine
NPI 1962063834
1800 LAWRENCE DR
De Pere, WI 54115
(920) 983-3220
✔ PECOS✔ Accepts MedicareSame address
Cynthia Lasecki, MD
Family Practice
NPI 1871577577
1800 LAWRENCE DR
De Pere, WI 54115
(920) 983-3220
✔ PECOS✔ Accepts MedicareSame address
Daniel Vaz, MD
Family Practice
NPI 1356950190
1800 LAWRENCE DR
De Pere, WI 54115
(920) 983-3220
✔ PECOS✔ Accepts MedicareSame address
Nicole Norcross, MSW CAPSW
Clinical Social Worker
NPI 1518507235
1710 LAWRENCE DR STE 200
De Pere, WI 54115
(920) 364-9078
✔ PECOS✔ Accepts Medicare0.2 mi
Tad Taggart, RD, CD
Registered Dietitian or Nutrition Professional
NPI 1508535006
1710 LAWRENCE DR STE 200
De Pere, WI 54115
(920) 570-6339
0.2 mi
Ryan Thyssen, PT, DPT
Physical Therapist in Private Practice
NPI 1245858521
200 S 9TH ST
De Pere, WI 54115
(920) 338-4146
1.9 mi
Kristen Crosson, APNP
Nurse Practitioner
NPI 1073354262
933 WAUBE LN
Green Bay, WI 54304
(920) 548-9500
✔ PECOS✔ Accepts Medicare3.1 mi
Ali Al-Humadi, PSYD
Clinical Psychologist
NPI 1427567684
933 WAUBE LN
Green Bay, WI 54304
(920) 548-9500
✔ PECOS✔ Accepts Medicare3.1 mi
Lakshmi Gopalakrishnan Nair, MD
Allergy/Immunology
NPI 1124636881
933 WAUBE LN
Green Bay, WI 54304
(920) 548-9500
✔ PECOS✔ Accepts Medicare3.1 mi
Abigail Hohol, OT
Occupational Therapist in Private Practice
NPI 1811725666
933 WAUBE LN
Green Bay, WI 54304
(920) 548-9500
✔ Accepts Medicare3.1 mi
Caitlin Barr, MD
Pediatric Medicine
NPI 1366930745
555 REDBIRD CIR
De Pere, WI 54115
(920) 338-6820
✔ PECOS✔ Accepts Medicare3.6 mi
Sherri Hoyman, DO
Family Practice
NPI 1629052469
555 REDBIRD CIR
De Pere, WI 54115
(920) 338-6820
✔ PECOS✔ Accepts Medicare3.6 mi
Kathryn Lafond, MD
Internal Medicine
NPI 1861411043
555 REDBIRD CIR STE 300
De Pere, WI 54115
(920) 338-6870
✔ PECOS✔ Accepts Medicare3.6 mi
Kimberly Sandstrom, LPC
Mental Health Counselor
NPI 1538568910
555 REDBIRD CIR
De Pere, WI 54115
(920) 338-6830
✔ PECOS✔ Accepts Medicare3.6 mi
Steven Ippolito, MD
Psychiatry
NPI 1063096360
2550 S ASHLAND AVE
Green Bay, WI 54304
(920) 548-7337
✔ PECOS4.2 mi
Collin Bowman, M.D.
Hospice/Palliative Care
NPI 1922462092
1580 COMMANCHE AVE
Green Bay, WI 54313
(920) 435-8326
✔ PECOS✔ Accepts Medicare4.5 mi
Anjali Budhathoki, M.D
Hematology/Oncology
NPI 1548558166
1580 COMMANCHE AVE
Green Bay, WI 54313
(920) 435-8326
✔ PECOS✔ Accepts Medicare4.5 mi
See all 873 clinicians

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

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 1053374314. It was assigned to this organization in the NPPES registry on April 8, 2006. The provider is doing business as FMC Depere West and FMC West Depere.

Where is Bellin Memorial Hospital Inc located?

Bellin Memorial Hospital Inc is located at 1800 Lawrence Dr, De Pere, WI 54115. The listed phone number is (920) 983-3220.

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), 873 clinicians in 50 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 (224), Physical Therapist in Private Practice (118) and Family Practice (57). Of these, 6 practice at this address and 544 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bellin Memorial Hospital Inc accept?

Health plans from CareSource (Common Ground Healthcare) 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 October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.