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BELLIN HEALTH SPORTS MEDICINE AND ORTHOPEDICS
NPI 1114398849
Orthopaedic Surgery in Green Bay, WI

Active since October 07, 2015CLIA Certified · 3 labs
1630 COMMANCHE AVE, GREEN BAY, WI 54313(920) 593-5555(920) 593-5549 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, Mar 22, 2019 (2 updates tracked since 2019).

About Bellin Health Sports Medicine And Orthopedics NPPES

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

BELLIN HEALTH SPORTS MEDICINE AND ORTHOPEDICS (NPI 1114398849) is a healthcare organization registered as an orthopaedic surgery in Green Bay, Wisconsin and active in the NPI registry since October 2015. The organization holds 3 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists Denise K Stroobants, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1114398849
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameBELLIN MEMORIAL HOSPITAL INC
Location Address1630 COMMANCHE AVEGreen Bay, WI 54313-5753
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7229
Phone(920) 593-5555
Fax(920) 593-5549
Organization SubpartNo
Authorized OfficialDenise K StroobantsCredentialing Specialist · (920) 433-7864
Enumeration DateOctober 7, 2015
Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
✔ NPI 1114398849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1630 COMMANCHE AVE, Green Bay, WI 54313
Open in Google Maps ↗

Other Names 1

Doing Business AsBellin Health Sports Medicine And Orthopedics

Secondary Practice Locations 5

Location 1704 S Webster AveGreen Bay, WI 54301-3528 · Phone (920) 430-4888 · Fax (920) 430-4889
Location 21970 S Ridge RdGreen Bay, WI 54304-4125 · Phone (920) 430-4888 · Fax (920) 430-4889
Location 3440 Woodward AveIron Mountain, MI 49801-4631 · Phone (906) 776-9040 · Fax (906) 774-7279
Location 43263 Eaton RdGreen Bay, WI 54311-6830 · Phone (920) 430-4888 · Fax (920) 430-4889
Location 52714 Riverview DrGreen Bay, WI 54313-6715 · Phone (920) 430-4760 · Fax (920) 430-4774

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Blue Care Network of Michigan, 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)

Bellin Health Sports Medicine And Orthopedics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

932

Medicare enrollment records show 932 clinicians reassign Medicare billing to Bellin Health Sports Medicine And Orthopedics, which bills Medicare for the services they deliver. Of these, 66 practice at this address and 550 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 51

Nurse Practitioner239
Physical Therapist in Private Practice127
Family Practice73
Clinical Social Worker42
Certified Registered Nurse Anesthetist (CRNA)41
Mental Health Counselor36
Neurology29
Cardiovascular Disease (Cardiology)24
43 other specialties321

Nearest to this location (20)

See all 932
Heather Bevers, DNP, APNP, FNP-C
Nurse Practitioner
NPI 1225686330
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4585
✔ PECOSSame address
Kristy Carter, PT
Physical Therapist in Private Practice
NPI 1346225570
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4750
✔ Accepts MedicareSame address
Eric Erdmann, PT
Physical Therapist in Private Practice
NPI 1518116292
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4750
✔ Accepts MedicareSame address
Paula Ferron, APNP
Nurse Practitioner
NPI 1467888735
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 445-7268
✔ PECOS✔ Accepts MedicareSame address
Allison Krueger, PT
Physical Therapist in Private Practice
NPI 1043621568
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ Accepts MedicareSame address
Brittany Meier, LPC
Mental Health Counselor
NPI 1700581766
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4780
✔ PECOS✔ Accepts MedicareSame address
Kathryn Miller, APNP
Nurse Practitioner
NPI 1114885472
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ PECOS✔ Accepts MedicareSame address
Kimberly Perry, MS, NCC, LPC
Mental Health Counselor
NPI 1982761219
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4780
✔ PECOS✔ Accepts MedicareSame address
Eric Abdul, MD
Preventive Medicine
NPI 1023379328
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ PECOS✔ Accepts MedicareSame address
Rachel Atherton, MD
Family Practice
NPI 1952891822
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ PECOS✔ Accepts MedicareSame address
Taylor Bachaus, MD
Family Practice
NPI 1942838685
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ PECOS✔ Accepts MedicareSame address
Ryan Berns, MD
Family Practice
NPI 1790272839
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ PECOS✔ Accepts MedicareSame address
Edward Bongiorno, DO
Internal Medicine
NPI 1992789754
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ PECOS✔ Accepts MedicareSame address
Jane Danowit, MD
Pediatric Medicine
NPI 1427032218
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4585
✔ PECOSSame address
Ashley Flannery, MD
Pediatric Medicine
NPI 1760741136
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4885
✔ PECOS✔ Accepts MedicareSame address
Troy Gutzman, OTR/CHT/CEES
Occupational Therapist in Private Practice
NPI 1770533739
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ Accepts MedicareSame address
Lee Hyrkas, RD,CD
Registered Dietitian or Nutrition Professional
NPI 1114321858
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ Accepts MedicareSame address
Lynn Kitslaar, RD
Registered Dietitian or Nutrition Professional
NPI 1255316717
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ Accepts MedicareSame address
Patrick Mckenzie, MD
Orthopedic Surgery
NPI 1881620565
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 593-5555
✔ PECOSSame address
Lisa Parish, OTR
Occupational Therapist in Private Practice
NPI 1093021313
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ Accepts MedicareSame address
See all 932 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 3

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 52D2162224

Bellin Health- Sports Medicine · Green Bay, WI
Active · expires Feb 18, 2027
CLIA Number52D2162224
Laboratory TypeSports Medicine
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorDr. Ryan Berns
Laboratory Phone(920) 430-4888
Laboratory LocationBellin Health- Sports Medicine1970 S Ridge Road, Green Bay, WI 54304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 52D2132646

Bellin Health Titletown Sports Medicine And Orthopedics · Green Bay, WI
Active · expires Apr 9, 2028
CLIA Number52D2132646
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorDr. James W. Gast
Laboratory Phone(920) 430-4888
Laboratory LocationBellin Health Titletown Sports Medicine And Orthopedics1970 S Ridge Road, Green Bay, WI 54304
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 23D2176713

Bellin Health · Iron Mountain, MI
Active · expires Dec 22, 2027
CLIA Number23D2176713
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorTerence Ryan
Laboratory Phone(906) 776-9040
Laboratory LocationBellin Health212 East B Street, Iron Mountain, MI 49801
CLIA data matches this NPI record on: Name Phone
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 Bellin Memorial Hospital Inc's NPI number?

The NPI number for Bellin Memorial Hospital Inc is 1114398849. It was assigned to this organization in the NPPES registry on October 7, 2015. The provider is doing business as Bellin Health Sports Medicine And Orthopedics.

Where is Bellin Memorial Hospital Inc located?

Bellin Memorial Hospital Inc is located at 1630 Commanche Ave, Green Bay, WI 54313. The listed phone number is (920) 593-5555.

What is Bellin Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

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), 932 clinicians in 51 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 (239), Physical Therapist in Private Practice (127) and Family Practice (73). Of these, 66 practice at this address and 550 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bellin Memorial Hospital Inc hold CLIA laboratory certificates?

Yes. 3 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 Bellin Memorial Hospital Inc accept?

Health plans from Aspirus Health Plan, Blue Care Network of Michigan and 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 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.