ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
NPI 1093982530
Clinic/Center in New London, WI

Active since May 14, 2008CLIA 52D0397908 · Waiver
1420 ALGOMA ST, NEW LONDON, WI 54961(920) 982-8300 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2026, Mar 27, 2023, Aug 18, 2020 and 3 more (6 updates tracked since 2017).

About Ascension Medical Group-fox Valley Wisconsin, Inc NPPES

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

ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (NPI 1093982530), doing business as Ascension Medical Group, is a healthcare organization registered as a clinic/center in New London, Wisconsin and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists David Jirovec, Sr Finance Director - Medical Group, as its authorized official.

NPPES Registry Identity

NPI1093982530
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Location Address1420 ALGOMA STNew London, WI 54961
Mailing Address1420 Algoma StNew London, WI 54961-2104 · (920) 738-2000
Organization SubpartNo
Authorized OfficialDavid JirovecSr Finance Director - Medical Group · (715) 347-6655
Enumeration DateMay 14, 2008
Last NPPES UpdateMay 19, 20266 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1093982530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1420 ALGOMA ST, New London, WI 54961

Other Names 1

Doing Business AsAscension Medical Group

Other Identifiers 1

Medicaid32752000WI

CLIA Laboratory Certificates CMS CLIA

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 52D0397908

Ascension Medical Group- Fox Valley Wisconsin Inc D/B/A Ascension Medical Group · New London, WI
Active · expires Apr 20, 2027
CLIA Number52D0397908
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorDr. Anne Prater
Laboratory Phone(920) 982-8341
Laboratory LocationAscension Medical Group- Fox Valley Wisconsin Inc D/B/A Ascension Medical Group1420 Algoma St, New London, WI 54961
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1420 ALGOMA ST
NEW LONDON, WI 54961
Family Medicine
1420 ALGOMA ST
NEW LONDON, WI 54961
Durable Medical Equipment & Medical Supplies
1420 ALGOMA ST
NEW LONDON, WI 54961
Family Medicine
1420 ALGOMA ST
NEW LONDON, WI 54961
Durable Medical Equipment & Medical Supplies
1420 ALGOMA ST
NEW LONDON, WI 54961
Internal Medicine
1420 ALGOMA ST
NEW LONDON, WI 54961
Family Medicine
1420 ALGOMA ST
NEW LONDON, WI 54961
Nurse Practitioner
1420 ALGOMA ST
NEW LONDON, WI 54961

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 Ascension Medical Group-Fox Valley Wisconsin, Inc's NPI number?

The NPI number for Ascension Medical Group-Fox Valley Wisconsin, Inc is 1093982530. It was assigned to this organization in the NPPES registry on May 14, 2008. The provider is doing business as Ascension Medical Group.

Where is Ascension Medical Group-Fox Valley Wisconsin, Inc located?

Ascension Medical Group-Fox Valley Wisconsin, Inc is located at 1420 Algoma St, New London, WI 54961. The listed phone number is (920) 982-8300.

What is Ascension Medical Group-Fox Valley Wisconsin, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Ascension Medical Group-Fox Valley Wisconsin, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0397908) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ascension Medical Group-Fox Valley Wisconsin, Inc was last updated on May 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.