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FMC BELLIN HEALTH FAST CARE ASHWAUBENON
NPI 1073566725
Family Medicine in Green Bay, WI

Active since May 17, 2006
2015 SHAWANO AVE, GREEN BAY, WI 54303(920) 592-9478(920) 592-9479 Get Directions Write a Review

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

Record update history: Oct 18, 2021, May 31, 2019 (2 updates tracked since 2019).

About Fmc Bellin Health Fast Care Ashwaubenon NPPES

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

FMC BELLIN HEALTH FAST CARE ASHWAUBENON (NPI 1073566725) is a healthcare organization registered as a family medicine in Green Bay, Wisconsin and active in the NPI registry since May 2006. The organization lists Denise K Stroobants, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1073566725
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBELLIN MEMORIAL HOSPITAL INC
Location Address2015 SHAWANO AVEGreen Bay, WI 54303-2606
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289
Phone(920) 592-9478
Fax(920) 592-9479
Organization SubpartNo
Authorized OfficialDenise K StroobantsCredentialing Specialist · (920) 433-7864
Enumeration DateMay 17, 2006
Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
✔ NPI 1073566725 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.
2015 SHAWANO AVE, Green Bay, WI 54303
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Other Names 2

Doing Business AsFmc Bellin Health Fast Care Ashwaubenon
Doing Business AsBellin Health Fast Care West

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

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 Bellin Health Fast Care Ashwaubenon 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 Bellin Health Fast Care Ashwaubenon, which bills Medicare for the services they deliver. Of these, 549 practice 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
Allison Combs, APNP
Nurse Practitioner
NPI 1285306035
2015 SHAWANO AVE
Green Bay, WI 54303
(920) 592-9478
✔ PECOS✔ Accepts MedicareSame address
Megan Drewieske, APNP
Nurse Practitioner
NPI 1881133866
1860 SHAWANO AVE
Green Bay, WI 54303
(920) 433-3500
✔ PECOS✔ Accepts Medicare0.3 mi
Tiffany Laughlin, APNP
Nurse Practitioner
NPI 1316222771
1860 SHAWANO AVE
Green Bay, WI 54303
(209) 496-4700
✔ PECOS✔ Accepts Medicare0.3 mi
Samantha Seiltz, NP
Nurse Practitioner
NPI 1629851134
1860 SHAWANO AVE
Green Bay, WI 54303
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.3 mi
Bela Ballo, MD
Diagnostic Radiology
NPI 1275551160
1789 SHAWANO AVE
Green Bay, WI 54303
(920) 499-1428
✔ PECOS✔ Accepts Medicare0.4 mi
Jesse Borman, MD
Diagnostic Radiology
NPI 1508046418
1789 SHAWANO AVE
Green Bay, WI 54303
(920) 499-1428
✔ PECOS✔ Accepts Medicare0.4 mi
Douglas Coyle, MD
Diagnostic Radiology
NPI 1912932054
1789 SHAWANO AVE
Green Bay, WI 54303
(920) 499-1428
✔ PECOS✔ Accepts Medicare0.4 mi
Richard Horak, M.D.
Diagnostic Radiology
NPI 1902092059
1789 SHAWANO AVE
Green Bay, WI 54303
(920) 499-1428
✔ PECOS✔ Accepts Medicare0.4 mi
Riley Smyth, M.D.
Diagnostic Radiology
NPI 1275791832
1789 SHAWANO AVE
Green Bay, WI 54303
(920) 499-2766
✔ PECOS✔ Accepts Medicare0.4 mi
Michael Ryan, M.D.
Orthopedic Surgery
NPI 1124314612
1726 SHAWANO AVE
Green Bay, WI 54303
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.6 mi
Mark Kroll, D.O.
Family Practice
NPI 1124030499
2253 W MASON ST
Green Bay, WI 54303
(920) 327-7000
✔ PECOS✔ Accepts Medicare0.9 mi
Izabela Ditchen, MD
Family Practice
NPI 1104800911
2714 RIVERVIEW DR
Green Bay, WI 54313
(920) 430-4760
✔ PECOS✔ Accepts Medicare1.5 mi
Teaghan Everard
Mental Health Counselor
NPI 1629955158
2714 RIVERVIEW DR
Green Bay, WI 54313
(920) 445-7377
✔ PECOS✔ Accepts Medicare1.5 mi
Donald Hartig, MD
Internal Medicine
NPI 1073597803
2714 RIVERVIEW DR
Green Bay, WI 54313
(920) 430-4760
✔ PECOS✔ Accepts Medicare1.5 mi
Matthew Opolka, P.T.
Physical Therapist in Private Practice
NPI 1174866966
2714 RIVERVIEW DR
Green Bay, WI 54313
(920) 430-4760
✔ Accepts Medicare1.5 mi
Kathryn Warren, APNP
Nurse Practitioner
NPI 1255747325
2714 RIVERVIEW DR
Green Bay, WI 54313
(920) 430-4760
✔ PECOS✔ Accepts Medicare1.5 mi
David Ruta, MD
Orthopedic Surgery
NPI 1326369190
1970 S RIDGE RD
Green Bay, WI 54304
(920) 430-4888
✔ PECOS✔ Accepts Medicare2.4 mi
Jacob Lanzendorf, OT
Occupational Therapist in Private Practice
NPI 1972157840
1970 S RIDGE RD
Green Bay, WI 54304
(920) 430-4888
✔ Accepts Medicare2.4 mi
Eric Abdul, MD
Preventive Medicine
NPI 1023379328
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ PECOS✔ Accepts Medicare3.3 mi
Jane Danowit, MD
Pediatric Medicine
NPI 1427032218
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4585
✔ PECOS3.3 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 1073566725. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as FMC Bellin Health Fast Care Ashwaubenon and Bellin Health Fast Care West.

Where is Bellin Memorial Hospital Inc located?

Bellin Memorial Hospital Inc is located at 2015 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 592-9478.

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, 549 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.