HEART AND VASCULAR INSTITUTE OF WISCONSIN
NPI 1053884478
Internal Medicine - Cardiovascular Disease in Appleton, WI

Active since January 08, 2019
5045 W GRANDE MARKET DR, APPLETON, WI 54913(920) 886-9380(920) 886-9381 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 24, 2022, Jan 8, 2019 (2 updates tracked since 2019).

About Heart And Vascular Institute Of Wisconsin NPPES

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

HEART AND VASCULAR INSTITUTE OF WISCONSIN (NPI 1053884478) is a healthcare organization registered as a cardiovascular disease in Appleton, Wisconsin and active in the NPI registry since January 2019. The organization lists Larry Sobal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053884478
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameHEART AND VASCULAR OF WISCONSIN, SC
Location Address5045 W GRANDE MARKET DRAppleton, WI 54913-8517
Mailing AddressPo Box 610Green Bay, WI 54305-0610 · (920) 886-9380 · Fax (920) 886-9381
Fax(920) 886-9381
Organization SubpartNo
Authorized OfficialLarry SobalCeo · (904) 574-6211
Enumeration DateJanuary 8, 2019
Last NPPES UpdateOctober 24, 20222 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
✔ NPI 1053884478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5045 W GRANDE MARKET DR, Appleton, WI 54913

Other Names 1

Doing Business AsHeart And Vascular Institute Of Wisconsin

Other Identifiers 1

Medicaid100088147WI

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heart And Vascular Institute Of Wisconsin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Heart And Vascular Institute Of Wisconsin, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner8
Interventional Cardiology7
Cardiovascular Disease (Cardiology)5
Cardiac Electrophysiology2

Nearest to this location (20)

See all 22
Interventional Cardiology
NPI 1710937115
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOSSame address
Nurse Practitioner
NPI 1952974206
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1396703732
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013648591
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1629045232
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407529001
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1801971221
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1649220229
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1104878149
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1689626632
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1831176338
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396053187
1818 N MEADE ST
Appleton, WI 54911
(920) 731-8900
✔ PECOS4.5 mi
Interventional Cardiology
NPI 1689870370
1818 N MEADE ST
Appleton, WI 54911
(920) 731-8900
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1245666452
1818 N MEADE ST
Appleton, WI 54911
(920) 731-8900
✔ PECOS✔ Accepts Medicare4.5 mi
Cardiovascular Disease (Cardiology)
NPI 1568413466
1818 N MEADE ST
Appleton, WI 54911
(920) 731-8900
✔ PECOS✔ Accepts Medicare4.5 mi
Cardiac Electrophysiology
NPI 1285608984
1818 N MEADE ST
Appleton, WI 54911
(920) 731-8900
✔ PECOS✔ Accepts Medicare4.5 mi
Cardiovascular Disease (Cardiology)
NPI 1518275718
1506 S ONEIDA ST
Appleton, WI 54915
(920) 730-2640
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1295387975
855 N WESTHAVEN DR
Oshkosh, WI 54904
(920) 303-8700
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1205828654
855 N WESTHAVEN DR
Oshkosh, WI 54904
(920) 303-8700
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1508369059
1855 S KOELLER ST
Oshkosh, WI 54902
(920) 738-2000
✔ PECOS✔ Accepts Medicare19 mi
See all 22 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 Heart And Vascular Of Wisconsin, Sc's NPI number?

The NPI number for Heart And Vascular Of Wisconsin, Sc is 1053884478. It was assigned to this organization in the NPPES registry on January 8, 2019. The provider is doing business as Heart And Vascular Institute Of Wisconsin.

Where is Heart And Vascular Of Wisconsin, Sc located?

Heart And Vascular Of Wisconsin, Sc is located at 5045 W Grande Market Dr, Appleton, WI 54913. The listed phone number is (920) 886-9380.

What is Heart And Vascular Of Wisconsin, Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Heart And Vascular Of Wisconsin, Sc enrolled in Medicare?

Yes. Heart And Vascular Of Wisconsin, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heart And Vascular Of Wisconsin, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 4 Medicare specialties reassign their Medicare billing to Heart And Vascular Of Wisconsin, Sc. 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 (8), Interventional Cardiology (7) and Cardiovascular Disease (Cardiology) (5). Of these, 11 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Heart And Vascular Of Wisconsin, Sc accept?

Health plans from Anthem Blue Cross and Blue Shield list Heart And Vascular Of Wisconsin, Sc 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 Heart And Vascular Of Wisconsin, Sc was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.