DOUSMAN CLINIC, S.C.
NPI 1265634331
Family Medicine in Green Bay, WI
About Dousman Clinic, S.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUSMAN CLINIC, S.C. (NPI 1265634331) is a healthcare organization registered as a family medicine in Green Bay, Wisconsin and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Jan E Reimer, Clinic Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted 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)
Dousman Clinic, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Dousman Clinic, S.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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
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 52D0395048
Dousman Clinic Sc · Green 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 Dousman Clinic, S.C.'s NPI number?
The NPI number for Dousman Clinic, S.C. is 1265634331. It was assigned to this organization in the NPPES registry on June 1, 2007.
Where is Dousman Clinic, S.C. located?
Dousman Clinic, S.C. is located at 124 Siegler St, Green Bay, WI 54303. The listed phone number is (920) 494-9661.
What is Dousman Clinic, S.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dousman Clinic, S.C. enrolled in Medicare?
Yes. Dousman Clinic, S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dousman Clinic, S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Dousman Clinic, S.C.. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dousman Clinic, S.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D0395048) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dousman Clinic, S.C. accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Dean Health Plan list Dousman Clinic, S.C. 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 Dousman Clinic, S.C. was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dousman Clinic, S.c. · NPI 1265634331
Family Medicine organization in Green Bay, Wisconsin. Organization record, active in the CMS NPPES registry since June 1, 2007.
## Identity
- **NPI:** 1265634331 (Entity type: Organization)
- **Enumerated:** June 1, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jan Reimer, CLINIC MANAGER
## Practice location
- **Address:** 124 SIEGLER ST, Green Bay, WI 54303-2636
- **Phone:** (920) 494-9661
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2012
- **Other identifiers:** Medicare ID-Type Unspecified 000007695 (WI); Medicaid 32786100 (WI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265634331) · Data from the CMS NPPES public registry.