ST NICHOLAS HOSPITAL PROFESSIONAL SERVICES GROUP
NPI 1275943243
Nurse Practitioner in Sheboygan, WI
About St Nicholas Hospital Professional Services Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST NICHOLAS HOSPITAL PROFESSIONAL SERVICES GROUP (NPI 1275943243) is a healthcare organization registered as a nurse practitioner in Sheboygan, Wisconsin and active in the NPI registry since April 2014. The organization lists Andrew Bagnall, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
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 Professional Services Group 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 Professional Services Group, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 89 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 672Sheboygan, WI 53081
Source: 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 1275943243. It was assigned to this organization in the NPPES registry on April 30, 2014. The provider is doing business as St Nicholas Hospital Professional Services Group.
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 3100 Superior Ave, Sheboygan, WI 53081. The listed phone number is (920) 459-8300.
What is St Nicholas Hospital-Sisters Of The Third Order Of St Francis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
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, 11 practice at this address and 89 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 December 22, 2021. 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.
# St Nicholas Hospital Professional Services Group · NPI 1275943243
Nurse Practitioner organization in Sheboygan, Wisconsin. Organization record, active in the CMS NPPES registry since April 30, 2014.
## Identity
- **NPI:** 1275943243 (Entity type: Organization)
- **Enumerated:** April 30, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Legal business name:** St Nicholas Hospital-Sisters Of The Third Order Of St Francis
- **Organization subpart:** Yes (part of St Nicholas Hospital-Sisters Of The Third Order Of St Francis)
- **Authorized official:** Andrew Bagnall, CEO
## Practice location
- **Address:** 3100 SUPERIOR AVE, Sheboygan, WI 53081-1948
- **Phone:** (920) 459-8300
## 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); 11 practice at this address and 89 within 10 miles; [full list](https://npiprofile.com/npi/1275943243/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1275943243) · Data from the CMS NPPES public registry.