BAYCARE CLINIC, LLP
NPI 1124516893
Dentist - Oral and Maxillofacial Surgery in Sturgeon Bay, WI
About Baycare Clinic, Llp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAYCARE CLINIC, LLP (NPI 1124516893) is a healthcare organization registered as an oral and maxillofacial surgery in Sturgeon Bay, Wisconsin and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Nicole Hettmann, Provider Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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 52D2090131
Baycare Clinic, LLP · Sturgeon Bay, WIFrequently 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 Baycare Clinic, LLP's NPI number?
The NPI number for Baycare Clinic, LLP is 1124516893. It was assigned to this organization in the NPPES registry on April 27, 2018.
Where is Baycare Clinic, LLP located?
Baycare Clinic, LLP is located at 636 N 12th Ave, Sturgeon Bay, WI 54235. The listed phone number is (920) 743-2001.
What is Baycare Clinic, LLP's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Does Baycare Clinic, LLP hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2090131) is associated with this NPI, valid through January 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Baycare Clinic, LLP accept?
Health plans from CareSource (Common Ground Healthcare) and Security Health Plan list Baycare Clinic, LLP 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 Baycare Clinic, LLP was last updated on March 31, 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.
# Baycare Clinic, Llp · NPI 1124516893
Oral and Maxillofacial Surgery organization in Sturgeon Bay, Wisconsin. Organization record, active in the CMS NPPES registry since April 27, 2018.
## Identity
- **NPI:** 1124516893 (Entity type: Organization)
- **Enumerated:** April 27, 2018
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Nicole Hettmann, PROVIDER CREDENTIALING COORDINATOR
## Practice location
- **Address:** 636 N 12TH AVE, Sturgeon Bay, WI 54235-1249
- **Phone:** (920) 743-2001
## Record status
- **NPPES last updated:** March 31, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124516893) · Data from the CMS NPPES public registry.