ST. VINCENT HOSPITAL - LIBERTAS OF SHAWANO
NPI 1063075018
Clinic/Center - Mental Health (Including Community Mental Health Center) in Shawano, WI

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

NPI Status: Active since April 16, 2019

Contact Information

1300 E GREEN BAY ST
SHAWANO, WI
ZIP 54166
Phone: (715) 201-0870

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NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: July 12, 2026.

Record update history: Dec 23, 2021, Apr 16, 2019 (2 updates tracked since 2019).

Table of Contents

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

Organization
Clinic/Center
Mental Health (Including Community Menta...
Accepts Insurance
Medicare Supplier
Accepts Medicare Approved Payment

About ST. VINCENT HOSPITAL - LIBERTAS OF SHAWANO

This page provides the complete NPI Profile along with additional information for St. Vincent Hospital - Libertas Of Shawano, a provider established in Shawano, Wisconsin operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1063075018 assigned on April 2019. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as St. Vincent Hospital - Libertas Of Shawano. The authorized official of this NPI record is Brian Charlier (President/ceo)

NPI: 1063075018
Provider Legal Name: ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Other Organization Name: ST. VINCENT HOSPITAL - LIBERTAS OF SHAWANO
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1300 E GREEN BAY ST SHAWANO, WI 54166
Location Phone: (715) 201-0870
Mailing Address: PO BOX 13508 GREEN BAY, WI 54307
Mailing Phone: (920) 433-8044
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 04-16-2019
Last Update Date: 12-23-2021
Code Navigator

St. Vincent Hospital - Libertas Of Shawano is a medicare supplier with PTAN 20621819 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: Infusion Drugs or Nebulizer Drugs or Contracture Treatment Devices: Dynamic Splint or Heat & Cold Applications or Traction Equipment or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Tracheotomy Supplies or Urological Supplies or Surgical Dressings or Diabetic Shoes and Inserts.

Location Map

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: Clinic/Center Mental Health (Including Community Mental Health Center)
Taxonomy Code: 261QM0801X
Type: Ambulatory Health Care Facilities

Insurance Plans Accepted

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

Security Health Plan

Premier $2,000 - 25% - HMO
Premier $3,500 - 30% - HMO
Premier $4,000 - 50% - HMO
Premier $5,000 HDHP - HMO
Premier $6,000 - 40% - HMO
Premier $7,500 - HMO
Premier $7,500 HDHP - HMO
Select $2,000 - 25% - EPO
Select $3,500 - 30% - EPO
Select $4,000 - 50% - EPO
Select $5,000 HDHP - EPO
Select $6,000 - 40% - EPO
Select $7,500 - EPO
Select $7,500 HDHP - EPO
Select $9,500 - EPO
Select Protection - EPO
Premier HMO $1,500 - 30% - HMO
Premier HMO $2,500 - 20% Copay - HMO
Premier HMO $3,400 - 30% HDHP - HMO
Premier HMO $3,500 - 30% - HMO

*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: BRIAN CHARLIER
Authorized Official Title: PRESIDENT/CEO
Authorized Official Phone: (920) 676-1148

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN: 20621819
Accepts Medicare Assignment: YES
Specialities List: Orthotic Personnel, Prosthetic Personnel.
Provider Type List: MULTI-SPECIALTY - PHYSICIAN.
Competitive Bidding: NO

Supplies List

Infusion Drugs -
Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
Traction Equipment - Traction tables, Traction machines, Inversion tables
(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
Tracheotomy Supplies - Tracheostomy care kits
Urological Supplies - Catheters, Urinary collection devices
Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
Diabetic Shoes and Inserts - Shoes, Socks, Insoles

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 1063075018, we treat the final digit (8) 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 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).

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 → 12 → 1 + 2

Pos 4

Unchanged

Pos 5

Doubled → 0

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 2

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 6 → 12 → 3 0 → 0 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 0 + 7 + 1 + 0 + 0 + 2 + 24 = 42

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

The next multiple of ten after 42 is 50. The difference is the calculated check digit.

50 - 42 = 8

This NPI is valid

The calculated check digit is 8, which matches the last digit of 1063075018.