DOOR COUNTY MEDICAL CENTER
NPI 1093743874
General Acute Care Hospital - Critical Access in Sturgeon Bay, WI

Active since June 29, 2006CLIA Certified · 2 labs
323 S 18TH AVE, STURGEON BAY, WI 54235(920) 743-5566 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2022, Mar 21, 2019 (2 updates tracked since 2019).

About Door County Medical Center NPPES

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

DOOR COUNTY MEDICAL CENTER (NPI 1093743874) is a healthcare organization registered as a critical access in Sturgeon Bay, Wisconsin and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Andrew S Laluzerne, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093743874
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameDOOR COUNTY MEMORIAL HOSPITAL
Location Address323 S 18TH AVESturgeon Bay, WI 54235-1401
Mailing Address323 S 18th AveSturgeon Bay, WI 54235-1401 · (920) 743-5566
Organization SubpartNo
Authorized OfficialAndrew S LaluzerneCfo · (920) 746-3729
Enumeration DateJune 29, 2006
Last NPPES UpdateApril 6, 20222 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1093743874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code282NC0060X
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
323 S 18TH AVE, Sturgeon Bay, WI 54235

Other Names 1

Doing Business AsDoor County Medical Center

Other Identifiers 2

Medicaid11018410WI
Medicaid11018400WI

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)

Door County Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

130

Medicare enrollment records show 130 clinicians reassign Medicare billing to Door County Medical Center, which bills Medicare for the services they deliver. Of these, 40 practice at this address and 45 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Emergency Medicine46
Nurse Practitioner31
Anesthesiology9
Obstetrics/Gynecology9
Family Practice7
Clinical Social Worker6
General Surgery5
Internal Medicine5
8 other specialties12

Nearest to this location (20)

See all 130
Emergency Medicine
NPI 1497250385
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 743-5566
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1699263996
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 746-0510
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1295056935
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 743-5566
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1669627824
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 743-5566
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629657341
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 743-5566
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1811927916
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 746-3771
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1518976927
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 746-0510
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1578572996
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 743-5566
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1699966317
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 746-0510
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295744688
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 746-0501
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1841672219
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 743-5566
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1174507982
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 746-0510
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1609806561
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 743-5566
✔ PECOSSame address
Marriage and Family Therapist
NPI 1457613127
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 746-0510
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1689600637
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 743-5566
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1427535020
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 743-5566
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1962569905
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 746-0510
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1770578189
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 746-0510
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1740295237
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 746-0510
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1356063614
323 S 18TH AVE
Sturgeon Bay, WI 54235
(920) 746-0510
✔ PECOS✔ Accepts MedicareSame address
See all 130 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 2

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 Waiver 52D1098274

Door County Medical Center-Sturgeon Bay Clinic · Sturgeon Bay, WI
Active · expires Apr 14, 2027
CLIA Number52D1098274
Laboratory TypeRural Health Clinic
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorDr. James F. Heise
Laboratory Phone(920) 746-3500
Laboratory LocationDoor County Medical Center-Sturgeon Bay Clinic323 S 18th Ave, Sturgeon Bay, WI 54235
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2279937

Door County Medical Center - Direct Care · Sturgeon Bay, WI
Active · expires Apr 10, 2027
CLIA Number52D2279937
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorJames F. Heise
Laboratory Phone(920) 746-3671
Laboratory LocationDoor County Medical Center - Direct Care911 Green Bay Road Suite 103, Sturgeon Bay, WI 54235
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Door County Memorial Hospital's NPI number?

The NPI number for Door County Memorial Hospital is 1093743874. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as Door County Medical Center.

Where is Door County Memorial Hospital located?

Door County Memorial Hospital is located at 323 S 18th Ave, Sturgeon Bay, WI 54235. The listed phone number is (920) 743-5566.

What is Door County Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Door County Memorial Hospital enrolled in Medicare?

Yes. Door County Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Door County Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 130 clinicians in 16 Medicare specialties reassign their Medicare billing to Door County Memorial Hospital. 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 Emergency Medicine (46), Nurse Practitioner (31) and Anesthesiology (9). Of these, 40 practice at this address and 45 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Door County Memorial Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Door County Memorial Hospital accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Network Health and Security Health Plan list Door County Memorial Hospital 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 Door County Memorial Hospital was last updated on April 6, 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.