DBA CLINICA HISPANA
NPI 1104022128
Family Medicine in Green Bay, WI

Q: What is Bellin Memorial Hospital Inc's NPI number?

The NPI number for Bellin Memorial Hospital Inc is 1104022128. It was assigned to this organization in the NPPES registry on June 26, 2007. The provider is doing business as Dba Clinica Hispana.

Q: What is Bellin Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 26, 2007

704 S WEBSTER AVE STE 201, GREEN BAY, WI 54301(920) 433-3410(920) 433-3419 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2022, Dec 28, 2018 (2 updates tracked since 2018).

On this page

About Dba Clinica Hispana NPPES

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

DBA CLINICA HISPANA (NPI 1104022128) is a healthcare organization registered as a family medicine in Green Bay, Wisconsin and active in the NPI registry since June 2007. The organization lists Denise K Stroobants, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1104022128

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBELLIN MEMORIAL HOSPITAL INC

Location Address704 S WEBSTER AVE STE 201Green Bay, WI 54301-3528

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222

Phone(920) 433-3410

Fax(920) 433-3419

Organization SubpartNo

Authorized OfficialDenise K StroobantsCredentialing Specialist · (920) 445-7222

Enumeration DateJune 26, 2007

Last NPPES UpdateApril 6, 20222 updates tracked since enumeration

NPPES CertifiedApril 6, 2022

✔ NPI 1104022128 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.

704 S WEBSTER AVE STE 201, Green Bay, WI 54301

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Other Names 1

Doing Business AsDba Clinica Hispana

Other Identifiers 1

Medicaid21312700WI

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

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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)

Dba Clinica Hispana 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 Dba Clinica Hispana, which bills Medicare for the services they deliver. Of these, 24 practice at this address and 549 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

Mazen Al Khalisy, MD

Internal Medicine

NPI 1417931106

704 S WEBSTER AVE
Green Bay, WI 54301

(920) 433-3784

✔ PECOS✔ Accepts MedicareSame address

Melissa Anderson, NP

Nurse Practitioner

NPI 1235444225

704 S WEBSTER AVE SUITE 300
Green Bay, WI 54301

(920) 468-3444

✔ PECOS✔ Accepts MedicareSame address

Alisha Anschutz, D-PT

Physical Therapist in Private Practice

NPI 1962197863

704 S WEBSTER AVE STE 201
Green Bay, WI 54301

(920) 433-3410

✔ Accepts MedicareSame address

David Brooks, M.D.

Infectious Disease

NPI 1407993066

704 S WEBSTER AVE STE 501
Green Bay, WI 54301

(920) 433-6050

✔ PECOS✔ Accepts MedicareSame address

Victor Compres Matos, M.D.

Endocrinology

NPI 1164872990

704 S WEBSTER AVE STE 300
Green Bay, WI 54301

(920) 433-6050

✔ PECOS✔ Accepts MedicareSame address

Louis Dainty, MD

Gynecological Oncology

NPI 1649250655

704 S WEBSTER AVE STE 300
Green Bay, WI 54301

(920) 338-6868

✔ PECOS✔ Accepts MedicareSame address

Lori Hartz, MS, RD

Registered Dietitian or Nutrition Professional

NPI 1114068095

704 S WEBSTER AVE
Green Bay, WI 54301

(920) 433-3456

✔ Accepts MedicareSame address

Gail Miller, M.D.

Obstetrics/Gynecology

NPI 1710958558

704 S WEBSTER AVE
Green Bay, WI 54301

(920) 338-6868

✔ PECOSSame address

Michelle Minikel, MD

Family Practice

NPI 1093913113

704 S WEBSTER AVE SUITE 200
Green Bay, WI 54301

(920) 433-3456

✔ PECOS✔ Accepts MedicareSame address

David Tearse, MD

Orthopedic Surgery

NPI 1184621468

704 S WEBSTER AVE
Green Bay, WI 54301

(920) 430-4888

✔ PECOS✔ Accepts MedicareSame address

Steven Gerndt, MD

Thoracic Surgery

NPI 1487667549

720 S WEBSTER AVE SUITE 303
Green Bay, WI 54301

(920) 433-9621

✔ PECOS✔ Accepts MedicareSame address

Christen Hunsberger, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1134678659

744 S WEBSTER AVE
Green Bay, WI 54301

(920) 433-3605

✔ PECOS✔ Accepts MedicareSame address

Nathanial Kieler, M.D.

Pathology

NPI 1144282773

744 S WEBSTER AVE
Green Bay, WI 54301

(920) 433-3653

✔ PECOS✔ Accepts MedicareSame address

Manar Al Shahrouri, MD

Pulmonary Disease

NPI 1093731382

744 S WEBSTER AVE
Green Bay, WI 54301

(920) 433-3706

✔ PECOS✔ Accepts MedicareSame address

Lukasz Babiarz, M.D., M.B.A.

Diagnostic Radiology

NPI 1346476066

744 S WEBSTER AVE
Green Bay, WI 54301

(920) 433-3500

✔ PECOS✔ Accepts MedicareSame address

Chandler Barnes, SLP

Qualified Speech Language Pathologist

NPI 1306489752

744 S WEBSTER AVE
Green Bay, WI 54301

(920) 433-7822

Same address

Sarah Beilfuss, OT

Occupational Therapist in Private Practice

NPI 1841215811

744 S WEBSTER AVE
Green Bay, WI 54301

(920) 433-7822

Same address

Donnevan Blake, M.D.

Cardiovascular Disease (Cardiology)

NPI 1801854898

744 S WEBSTER AVE FL 2
Green Bay, WI 54301

(920) 433-3640

✔ PECOS✔ Accepts MedicareSame address

Daniel Brannen, DO

Sports Medicine

NPI 1922687409

744 S WEBSTER AVE
Green Bay, WI 54301

(920) 430-4888

✔ PECOS✔ Accepts MedicareSame address

Ashley Diedrich, AA

Anesthesiology Assistant

NPI 1386748911

744 S WEBSTER AVE
Green Bay, WI 54301

(920) 433-3605

✔ Accepts MedicareSame address

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 1104022128. It was assigned to this organization in the NPPES registry on June 26, 2007. The provider is doing business as Dba Clinica Hispana.

Where is Bellin Memorial Hospital Inc located?

Bellin Memorial Hospital Inc is located at 704 S Webster Ave Ste 201, Green Bay, WI 54301. The listed phone number is (920) 433-3410.

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

What insurance does Bellin Memorial Hospital Inc accept?

Health plans from CareSource (Common Ground Healthcare) list Bellin Memorial Hospital Inc 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 Bellin Memorial Hospital Inc 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.