ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS
NPI 1275799413
Internal Medicine in Sheboygan, WI
About St. Nicholas Hospital-sisters Of The Third Order Of St Francis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS (NPI 1275799413), doing business as Prevea Sheboygan Health Center, is a healthcare organization registered as an internal medicine in Sheboygan, Wisconsin and active in the NPI registry since August 2008. The organization lists John Wagner, Market Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Nicholas Hospital-sisters Of The Third Order Of St Francis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
672Medicare enrollment records show 672 clinicians reassign Medicare billing to St. Nicholas Hospital-Sisters Of The Third Order Of St Francis, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 88 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 53
Nearest to this location (20)
See all 672Source: 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 St. Nicholas Hospital-Sisters Of The Third Order Of St Francis's NPI number?
The NPI number for St. Nicholas Hospital-Sisters Of The Third Order Of St Francis is 1275799413. It was assigned to this organization in the NPPES registry on August 6, 2008. The provider is doing business as Prevea Sheboygan Health Center.
Where is St. Nicholas Hospital-Sisters Of The Third Order Of St Francis located?
St. Nicholas Hospital-Sisters Of The Third Order Of St Francis is located at 3113 Saemann Ave, Sheboygan, WI 53081. The listed phone number is (920) 496-4700.
What is St. Nicholas Hospital-Sisters Of The Third Order Of St Francis's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is St. Nicholas Hospital-Sisters Of The Third Order Of St Francis enrolled in Medicare?
Yes. St. Nicholas Hospital-Sisters Of The Third Order Of St Francis is registered in the Medicare PECOS enrollment system.
When is St. Nicholas Hospital-Sisters Of The Third Order Of St Francis's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wisconsin, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through St. Nicholas Hospital-Sisters Of The Third Order Of St Francis?
According to the CMS Revalidation Reassignment List (October 2026 release), 672 clinicians in 53 Medicare specialties reassign their Medicare billing to St. Nicholas Hospital-Sisters Of The Third Order Of St Francis. 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 (133), Physical Therapist in Private Practice (109) and Hospitalist (44). Of these, 16 practice at this address and 88 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does St. Nicholas Hospital-Sisters Of The Third Order Of St Francis accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Security Health Plan list St. Nicholas Hospital-Sisters Of The Third Order Of St Francis 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 St. Nicholas Hospital-Sisters Of The Third Order Of St Francis was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# St. Nicholas Hospital-Sisters Of The Third Order Of St Francis · NPI 1275799413
Internal Medicine organization in Sheboygan, Wisconsin. Organization record, active in the CMS NPPES registry since August 6, 2008.
## Identity
- **NPI:** 1275799413 (Entity type: Organization)
- **Enumerated:** August 6, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** Prevea Sheboygan Health Center (Doing Business As)
- **Organization subpart:** Yes (part of St. Nicholas Hospital Of The Hospital Sisters Of St Francis)
- **Authorized official:** John Wagner, MARKET COO
## Practice location
- **Address:** 3113 SAEMANN AVE, Sheboygan, WI 53081-1957
- **Phone:** (920) 496-4700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Wisconsin, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 672 clinicians in 53 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (133), Physical Therapist in Private Practice (109), Hospitalist (44); 16 practice at this address and 88 within 10 miles; [full list](https://npiprofile.com/npi/1275799413/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2025
- **Other identifiers:** Medicaid 100059046 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1275799413) · Data from the CMS NPPES public registry.