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MIDWEST BARIATRIC SOLUTIONS
NPI 1285792341
Surgery in Neenah, WI

Active since December 04, 2006CLIA 52D1095709 · Waiver
130 2ND ST, 100 THEDA CLARK MED PLAZA, SUITE 400, NEENAH, WI 54956(920) 725-4527(920) 725-0991 Get Directions Write a Review

NPPES record last updated: February 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Midwest Bariatric Solutions NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST BARIATRIC SOLUTIONS (NPI 1285792341) is a healthcare organization registered as a surgery in Neenah, Wisconsin and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through February 15, 2027, maintains 3 additional practice locations, and lists Raymond F. Georgen, President, as its authorized official.

NPPES Registry Identity

NPI1285792341
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSURGICAL ASSOCIATES OF NEENAH, S.C.
Location Address130 2ND ST, 100 THEDA CLARK MED PLAZA, SUITE 400Neenah, WI 54956-2883
Mailing Address100 Theda Clark Medical Plz Ste 400Neenah, WI 54956-2763 · (920) 725-4527 · Fax (920) 725-0991
Phone(920) 725-4527
Fax(920) 725-0991
Organization SubpartNo
Authorized OfficialRaymond F. GeorgenPresident · (920) 725-4527
Enumeration DateDecember 4, 2006
Last NPPES UpdateFebruary 27, 2021
NPPES CertifiedFebruary 27, 2021
✔ NPI 1285792341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
130 2ND ST, Neenah, WI 54956
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Other Names 1

Other NameMidwest Bariatric Solutions

Secondary Practice Locations 3

Location 11405 Mill StNew London, WI 54961-2155 · Phone (920) 531-2099 · Fax (920) 725-0991
Location 2820 E Grant St Ste 230Appleton, WI 54911-3441 · Phone (920) 725-4527 · Fax (920) 729-2378
Location 3100 County Road BShawano, WI 54166-7072 · Phone (715) 524-2161 · Fax (715) 524-1559

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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)

Midwest Bariatric Solutions is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Midwest Bariatric Solutions, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner16
General Surgery13
Gastroenterology1

Nearest to this location (20)

See all 30
Marisa Kreuzer, APRN
Nurse Practitioner
NPI 1205467800
130 2ND ST
Neenah, WI 54956
(920) 725-0077
✔ PECOS✔ Accepts MedicareSame address
Raymond Georgen, M.D.
General Surgery
NPI 1912957457
200 THEDA CLARK MEDICAL PLZ SUITE 410
Neenah, WI 54956
(920) 725-4527
✔ PECOS✔ Accepts MedicareSame address
Jadi Cort
Nurse Practitioner
NPI 1326921792
100 THEDA CLARK MEDICAL PLZ
Neenah, WI 54956
(920) 725-4527
✔ PECOS✔ Accepts MedicareSame address
Marie Dziewit, APNP
Nurse Practitioner
NPI 1144864356
100 THEDA CLARK MEDICAL PLZ STE 400
Neenah, WI 54956
(920) 725-4527
✔ PECOS✔ Accepts MedicareSame address
Olivia Ertmer
Nurse Practitioner
NPI 1992557565
100 THEDA CLARK MEDICAL PLZ STE 400
Neenah, WI 54956
(920) 725-4527
✔ PECOS✔ Accepts MedicareSame address
Brooke Henschel, APNP
Nurse Practitioner
NPI 1245809714
100 THEDA CLARK MEDICAL PLZ STE 400
Neenah, WI 54956
(920) 725-4527
✔ PECOS✔ Accepts MedicareSame address
Katie Hogg, FNP-BC
Nurse Practitioner
NPI 1255172656
100 THEDA CLARK MEDICAL PLZ STE 400
Neenah, WI 54956
(920) 725-4527
✔ PECOS✔ Accepts MedicareSame address
Colby Seegmiller, DO
General Surgery
NPI 1336558832
100 THEDA CLARK MEDICAL PLZ STE 400
Neenah, WI 54956
(920) 725-4527
✔ PECOS✔ Accepts MedicareSame address
Kara Vande Walle
General Surgery
NPI 1679969323
100 THEDA CLARK MEDICAL PLZ STE 400
Neenah, WI 54956
(920) 725-4527
✔ PECOS✔ Accepts MedicareSame address
Annie Zeug, MD
General Surgery
NPI 1639608557
100 THEDA CLARK MEDICAL PLZ STE 400
Neenah, WI 54956
(920) 725-4527
✔ PECOS✔ Accepts MedicareSame address
Patrick Brennan, M.D.
General Surgery
NPI 1104876945
100 THEDA CLARK MEDICAL PLZ SUITE 400
Neenah, WI 54956
(920) 725-4527
✔ PECOS✔ Accepts MedicareSame address
David Schultz, M.D.
General Surgery
NPI 1508817073
100 THEDA CLARK MEDICAL PLZ SUITE 400
Neenah, WI 54956
(920) 725-4527
✔ PECOS✔ Accepts MedicareSame address
Kevin Wasco, M.D.
General Surgery
NPI 1497705008
100 THEDA CLARK MEDICAL PLZ SUITE 400
Neenah, WI 54956
(920) 725-4527
✔ PECOSSame address
Timothy Edison, MD
Gastroenterology
NPI 1861425902
200 THEDA CLARK MEDICAL PLZ
Neenah, WI 54956
(920) 720-6440
✔ PECOS✔ Accepts Medicare0.1 mi
Ashley Faulks, APNP
Nurse Practitioner
NPI 1235779570
200 THEDA CLARK MEDICAL PLZ
Neenah, WI 54956
(920) 720-7211
✔ PECOS✔ Accepts Medicare0.1 mi
Lori Franck, APNP
Nurse Practitioner
NPI 1043899776
200 THEDA CLARK MEDICAL PLZ
Neenah, WI 54956
(920) 702-6440
✔ PECOS✔ Accepts Medicare0.1 mi
Katherine Van Handel, APNP
Nurse Practitioner
NPI 1174218226
200 THEDA CLARK MEDICAL PLZ
Neenah, WI 54956
(920) 702-6440
✔ PECOS✔ Accepts Medicare0.1 mi
Betsy Winnekens, APNP
Nurse Practitioner
NPI 1740469881
200 THEDA CLARK MEDICAL PLZ STE 420
Neenah, WI 54956
(920) 720-7211
✔ PECOS✔ Accepts Medicare0.1 mi
Katlyn Hansen, NP
Nurse Practitioner
NPI 1649693326
1550 MIDWAY PL
Menasha, WI 54952
(920) 727-8000
✔ PECOS✔ Accepts Medicare3.3 mi
Jennifer Heenan, APNP
Nurse Practitioner
NPI 1316234362
5320 W MICHAELS DR
Appleton, WI 54913
(920) 882-8200
✔ PECOS✔ Accepts Medicare5.7 mi
See all 30 clinicians

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 52D1095709

Surgical Associates Of Neenah Sc · Neenah, WI
Active · expires Feb 15, 2027
CLIA Number52D1095709
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorRaymond F. Georgen, MD
Laboratory Phone(920) 725-4527
Laboratory LocationSurgical Associates Of Neenah Sc100 Theda Clark Medical Plaza Ste 400, Neenah, WI 54956
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Surgical Associates Of Neenah, S.C.'s NPI number?

The NPI number for Surgical Associates Of Neenah, S.C. is 1285792341. It was assigned to this organization in the NPPES registry on December 4, 2006. The provider is also known as Midwest Bariatric Solutions.

Where is Surgical Associates Of Neenah, S.C. located?

Surgical Associates Of Neenah, S.C. is located at 130 2nd St 100 Theda Clark Med Plaza, Suite 400, Neenah, WI 54956. The listed phone number is (920) 725-4527.

What is Surgical Associates Of Neenah, S.C.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Surgical Associates Of Neenah, S.C. enrolled in Medicare?

Yes. Surgical Associates Of Neenah, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Surgical Associates Of Neenah, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 3 Medicare specialties reassign their Medicare billing to Surgical Associates Of Neenah, 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. The largest specialties are Nurse Practitioner (16), General Surgery (13) and Gastroenterology (1). Of these, 13 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Surgical Associates Of Neenah, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D1095709) is associated with this NPI, valid through February 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgical Associates Of Neenah, S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Surgical Associates Of Neenah, 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 Surgical Associates Of Neenah, S.C. was last updated on February 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.