BELLIN HEALTH
NPI 1114579836
Family Medicine in Oconto, WI
NPI Status: Active since July 12, 2019
Contact Information
820 ARBUTUS AVE
OCONTO, WI
ZIP 54153
Phone: (920) 835-1100
Fax: (920) 835-1099
- Organization
- Family Medicine
- CLIA Number: 52D1040142
- CLIA Cert. Type: Compliance
- CLIA Exp. Date: 08-16-2025
About BELLIN HEALTH
Bellin Health is a primary care provider established in Oconto, Wisconsin operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1114579836 assigned on July 2019. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Bellin Health operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Bellin Health. The authorized official of this NPI record is Denise K Stroobants (Credentialing Specialist)
- NPI
- 1114579836
- Provider Legal Name
- OCONTO HOSPITAL & MEDICAL CENTER INC
- Other Organization Name
- BELLIN HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 820 ARBUTUS AVE OCONTO, WI 54153
- Location Phone
- (920) 835-1100
- Location Fax
- (920) 835-1099
- Mailing Address
- PO BOX 1866 GREEN BAY, WI 54305
- Mailing Phone
- (920) 445-7222
- Mailing Fax
- (920) 835-1099
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-12-2019
- Last Update Date
- 05-20-2022
- Code Navigator
A primary care provider (PCP) like Bellin Health sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Location Map
Secondary Locations
- 107 E Highland Dr
Oconto Falls, WI 54154
(920) 846-3092 - 218 S Hwy 141
Crivitz, WI 54114
(715) 854-7477 - 307 Manor Dr
Suring, WI 54174
(920) 842-2144 - 3200 Shore Dr
Marinette, WI 54143
(715) 732-8640 - 3919 Hall Ave
Marinette, WI 54143
(715) 735-5225 - 15481 Commercial Rd Ste E
Lakewood, WI 54138
(715) 276-9048
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 2 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 3 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 5 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | |
| 6 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 7 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | |
| 8 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 9 | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 10 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 11 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 12 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 13 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Anthem Blue Cross and Blue Shield
- Anthem Bronze Blue Preferred/Broad 0 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Blue Preferred/Broad 0% for HSA - POS
- Anthem Bronze Blue Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Blue Preferred/Broad 7500/50% Standard - POS
- Anthem Bronze Blue Preferred/Broad 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Blue Priority/Lean 0 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Blue Priority/Lean 0% for HSA - HMO
- Anthem Bronze Blue Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Blue Priority/Lean 7500/50% Standard - HMO
- Anthem Bronze Blue Priority/Lean 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Aspirus Health Plan
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Bronze 9450 - HMO
- HMO Catastrophic 9450 with 3 free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 6250 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5900 - HMO
Common Ground Healthcare Cooperative
- CGHC Bronze $6000 - Envision Network - EPO
- CGHC Bronze $6000 - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9450 ($35 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9450 ($35 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Catastrophic $9450 - Envision Network - EPO
- CGHC Copay Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Copay Bronze $0 Ded / $2250 Rx Ded - Envision Network (Dental/Vision Exam) - EPO
- CGHC Copay Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Copay Gold $0 Ded - Envision Network - EPO
HealthPartners
- Robin Select $3,600 Plus Silver - PPO
- Robin Select $3,800 HSA Silver - PPO
- Robin Select $5,900 w/Copay P-S Silver - PPO
- Robin Select $6,350 Plus Bronze - PPO
- Robin Select $7,500 w/Copay P-S Bronze - PPO
- Robin Select $8,000 HSA Bronze - PPO
- Robin Select $9,450 Catastrophic - PPO
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100092267 | MEDICAID (05) | WI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D1040142
- Facility Type
- Hospital
- Certificate Effective Date
- August 17, 2023
- Certificate Expiration Date
- August 16, 2025
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Bellin Health after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for BELLIN HEALTH
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 5 | 7 | 9 | 8 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 10 | 7 | 18 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 0 + 7 + 1 + 8 + 8 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1114579836 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1285671032 | AMANDA K WESTMORELAND PA Individual | Physician Assistant | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 835-1100 |
| 1750622346 | HEIDE M WOLD RDH Individual | Dental Hygienist | 820 ARBUTUS AVE OCONTO, WI 54153 (715) 276-6321 |
| 1649289778 | MR. JAC A CLEMENT PA-C Individual | Physician Assistant | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 835-1100 |
| 1861899833 | NORTHEAST WISCONSIN ORTHOPEDIC ASSOCIATES SC Organization | Orthopaedic Surgery | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 593-5555 |
| 1245337930 | TODD ROBERT HOLMAN MSW LCSW Individual | Counselor (Mental Health) | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 835-5500 |
| 1255868113 | MISS KATE MARIE VANALSTYNE OT Individual | Occupational Therapist | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 835-1100 |
| 1659781441 | DR. MICHAEL JON BRENNER M.D. Individual | Emergency Medicine | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 835-1100 |
| 1285292078 | DR. JACOB MALONE DDS Individual | Dentist (General Practice) | 820 ARBUTUS AVE OCONTO, WI 54153 (715) 634-2541 |
| 1609050798 | BELLIN PSYCHIATRIC CENTER INC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 835-5500 |
| 1083721286 | CHARLES J HEYKA MD Individual | Family Medicine | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 835-1100 |
| 1851301253 | DR. ELIZABETH JOYCE RUSSELL M.D. Individual | Family Medicine | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 835-1100 |
| 1457425951 | LORI JO EKLUND WALSH LCSW,LPC,SAC Individual | Social Worker (Clinical) | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 835-5500 |
| 1245767250 | DR. JOSHUA M SIMPSON DMD Individual | Dentist (General Practice) | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 516-7107 |
| 1073956223 | THE LAKES COMMUNITY HEALTH CENTER, INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 516-7107 |
| 1043599194 | LINDSEY E BAADE APNP Individual | Nurse Practitioner (Family) | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 835-1100 |
| 1386664613 | LORI JEAN JACOBS APNP Individual | Nurse Practitioner | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 835-1100 |
| 1477212868 | KIMBERLY MARIE KUDWA APNP Individual | Nurse Practitioner (Family) | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 834-8833 |
| 1467437715 | JOHN DOUGLAS MACDONALD MD Individual | Internal Medicine | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 835-1100 |
| 1215282223 | RYAN PATRICK MACDONALD PA Individual | Physician Assistant | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 835-1100 |
| 1295081677 | BELLIN HEALTH OCONTO CLINIC Organization | Family Medicine | 820 ARBUTUS AVE OCONTO, WI 54153 (920) 835-1100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114579836, enumerated in the NPI registry as an "organization" on July 12, 2019
The provider is located at 820 Arbutus Ave Oconto, Wi 54153 and the phone number is (920) 835-1100
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 52D1040142 for a "hospital" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on July 12, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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