SSM HEALTH ST AGNES HOSPITAL FOND DU LAC
NPI 1346228541
General Acute Care Hospital in Fond Du Lac, WI

Active since January 06, 2006

4/5

Hospital Overall Rating

430 E DIVISION ST, FOND DU LAC, WI 54935(920) 929-2300(920) 926-8885 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2024, Mar 12, 2022, Apr 1, 2021 and 2 more (5 updates tracked since 2020).

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About Ssm Health St Agnes Hospital Fond Du Lac NPPES

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

SSM HEALTH ST AGNES HOSPITAL FOND DU LAC (NPI 1346228541) is a healthcare organization registered as a general acute care hospital in Fond Du Lac, Wisconsin and active in the NPI registry since January 2006. The organization lists Amy Grinnell, Vp-finance, Cfo, as its authorized official.

NPPES Registry Identity

NPI1346228541

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NameAGNESIAN HEALTHCARE, INC

Location Address430 E DIVISION STFond Du Lac, WI 54935-4560

Mailing Address430 E Division StFond Du Lac, WI 54935-4560 · (920) 929-2300 · Fax (920) 926-8885

Phone(920) 929-2300

Fax(920) 926-8885

Organization SubpartNo

Authorized OfficialAmy GrinnellVp-finance, Cfo · (608) 260-3586

Enumeration DateJanuary 6, 2006

Last NPPES UpdateJune 5, 20245 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1346228541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X

Also ListedMedicare Defined Swing Bed UnitTaxonomy 275N00000X

430 E DIVISION ST, Fond Du Lac, WI 54935

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Other Names 1

Doing Business AsSsm Health St Agnes Hospital Fond Du Lac

Other Identifiers 3

Medicaid11013000WI

Other547140WI · Dean Care

Other101159WI · Vestica

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health 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)

Ssm Health St Agnes Hospital Fond Du Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

604

Medicare enrollment records show 604 clinicians reassign Medicare billing to Ssm Health St Agnes Hospital Fond Du Lac, which bills Medicare for the services they deliver. Of these, 87 practice at this address and 239 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner159

Psychiatry40

Family Practice35

Anesthesiology33

Certified Registered Nurse Anesthetist (CRNA)25

Neurology24

Emergency Medicine22

Internal Medicine19

41 other specialties247

Nearest to this location (20)

Nurse Practitioner

NPI 1912748401

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Sara Christie, APNP

Nurse Practitioner

NPI 1295560647

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Steven Flurry, MD

Anesthesiology

NPI 1710913215

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Tyler Rickert, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1568244515

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Erin Doolittle, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1225816762

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Mental Health Counselor

NPI 1053508135

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Hitesh Pandya, MD

Psychiatry

NPI 1407865272

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Lindsey Rasmussen, LPC

Mental Health Counselor

NPI 1568016699

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Scott Tschetter, D.O.

Anesthesiology

NPI 1558447938

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Kayla Hickmann, CAA

Anesthesiology Assistant

NPI 1407329428

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ Accepts MedicareSame address

Kasra Milani, MD

Hospitalist

NPI 1124089750

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Aaron Johnson, M.D.

Urology

NPI 1538124854

420 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Pediatric Medicine

NPI 1447888110

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOSSame address

David Beringer, M.D.

Emergency Medicine

NPI 1740280858

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOSSame address

Jacquelyn Block, MFT, LCSW, LMFT

Clinical Social Worker

NPI 1336360429

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Noman Mahmood, MD

Internal Medicine

NPI 1851616122

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Christopher Ng, MD, MBA

Physical Medicine and Rehabilitation

NPI 1275095044

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Evelyn Schaefer, PSYD

Clinical Psychologist

NPI 1962412395

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Cheryl Tapp, MD

Geriatric Psychiatry

NPI 1275542078

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

Edward Wright, DO

Critical Care (Intensivists)

NPI 1265963276

430 E DIVISION ST
Fond Du Lac, WI 54935

✔ PECOS✔ Accepts MedicareSame address

See all 604 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for St. Agnes Hospital Hospice (CMS certification number 520088), from CMS Care Compare.

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI

4/5 CMS Overall Rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520088

Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County · (920) 929-2300

Emergency services Birthing friendly Meaningful use of EHRs

Patient Experience

HCAHPS patient survey · Jan 2023 – Dec 2023

4/5 summary rating

Nurse communication

4/5

Doctor communication

4/5

Staff responsiveness

4/5

Communication about medicines

4/5

Discharge information

4/5

Care transition

3/5

Cleanliness

4/5

Quietness

4/5

Overall hospital rating

3/5

Recommend hospital

3/5

Star ratings summarize responses from patients surveyed after discharge, collected through the CMS HCAHPS program.

Complications & Deaths 19

CMS Medicare PSI 90: Patient safety and adverse events composite

1.01 No different than national

Abdominopelvic accidental puncture or laceration rate

0.81 No different than national

Postoperative wound dehiscence rate

1.82 No different than national

Postoperative sepsis rate

5.44 No different than national

Perioperative pulmonary embolism or deep vein thrombosis rate

3.14 No different than national

Postoperative respiratory failure rate

5.46 No different than national

Infections 5

Clostridium Difficile (C.Diff)

4 observed cases · 16.956 predicted · 32,703 patient days

0.236 Better than the national benchmark

MRSA Bacteremia

1 observed case · 1.211 predicted · 34,310 patient days

0.826 No different than national

SSI - Colon Surgery

0 observed cases · 1.606 predicted · 62 patient days

0.000 No different than national

Catheter Associated Urinary Tract Infections (ICU + select Wards)

1 observed case · 2.602 predicted · 3,738 patient days

0.384 No different than national

Central Line Associated Bloodstream Infection (ICU + select Wards)

0 observed cases · 2.033 predicted · 2,939 patient days

0.000 No different than national

Unplanned Hospital Visits 14

Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy

Cases too small to report

Rate of inpatient admissions for patients receiving outpatient chemotherapy

Cases too small to report

Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)

891 No different than national

Hospital return days for pneumonia patients

147 days per 100 discharges

Hospital return days for heart failure patients

223 days per 100 discharges

Hospital return days for heart attack patients

127 fewer days than average per 100 discharges

Timely & Effective Care 16

Discharged on Statin Medication

99%

Antithrombotic Therapy by End of Hospital Day 2

98%

Discharged on Antithrombotic Therapy

99%

Severe Sepsis 6-Hour Bundle

100%

Severe Sepsis 3-Hour Bundle

79%

Septic Shock 3-Hour Bundle

42%

Maternal Health 2

Elective Delivery

31%

Maternal Morbidity Structural Measure

Yes

Inpatient Rehabilitation Quality CMS Care Compare

Quality measures, patient outcomes and conditions treated for St Agnes Hospital (CMS certification number 52T088), from CMS Care Compare.

St Agnes Hospital

Inpatient rehabilitation facility · Fond Du Lac, WI

OwnershipNon-profit

CMS Certification Number52T088

Medicare-Certified SinceJuly 1, 1985

Location430 E Division StFond Du Lac, WI 54935

Phone(920) 926-4762

Rehabilitation unit within a hospital

Conditions Treated

Medicare patient stays by the condition that brought the patient to rehabilitation

Stroke

30

patient stays

All other conditions

Less than 11 patient stays

Brain disease or condition (non-traumatic)

Less than 11 patient stays

Hip or femur fracture

Less than 11 patient stays

Hip or knee replacement, amputation or other bone or joint condition

Less than 11 patient stays

Nervous system disorder (excluding stroke)

Less than 11 patient stays

Spinal cord disease or condition (non-traumatic)

Less than 11 patient stays

Counts reflect Medicare patient stays reported to CMS. CMS reports counts under 11 as "Less than 11" to protect patient privacy.

Quality Measures

Medications reviewed, with follow-up when issues were found

Drug Regimen Review · 45 patient stays

97.8%

Patients given a current list of their medications at discharge

Transfer of Health Information to the Patient · 20 patient stays

100%

Medication list sent to the next provider at discharge

Transfer of Health Information to the Provider · 25 patient stays

100%

Patients who meet or exceed the self-care ability expected for their condition at discharge

Discharge Self-Care Score · 40 patient stays

40%

Patients who meet or exceed the mobility expected for their condition at discharge

Discharge Mobility Score · 40 patient stays

45%

Patients who meet or exceed the overall function expected at discharge

Discharge Function Score · 40 patient stays

45%

Patients who experienced one or more falls with major injury during their stay

45 patient stays · Lower rates are better for this measure.

0%

Patients with pressure ulcers or injuries that are new or worsened

Risk-adjusted rate · 45 patient stays · observed rate 0% · Lower rates are better for this measure.

0%

Healthcare workers given the influenza vaccine

33 healthcare workers

97%

Healthcare workers up to date on COVID-19 vaccination

6 healthcare workers

0%

Measures are reported under the CMS Inpatient Rehabilitation Facility Quality Reporting Program. Reporting periods vary by measure (October 2021 to December 2023). Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to home or the community

19 of 37 patient stays · observed rate 51.35%

60.72%

risk-standardized rate

No Different than the National Rate

Potentially preventable readmissions within 30 days after discharge

1 readmissions of 36 patient stays · observed rate 2.78% · Lower rates are better for this measure.

8.68%

risk-standardized rate

No Different than the National Rate

Potentially preventable readmissions during the rehabilitation stay

1 readmissions of 38 patient stays · observed rate 2.63% · Lower rates are better for this measure.

4.7%

risk-standardized rate

No Different than the National Rate

Medicare spending per episode of care

1.00 = national average per episode of care · based on 36 episodes

0.92

spending ratio

Risk-standardized rates account for differences in patient condition mix. Comparison labels are assigned by CMS.

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 Agnesian Healthcare, Inc's NPI number?

The NPI number for Agnesian Healthcare, Inc is 1346228541. It was assigned to this organization in the NPPES registry on January 6, 2006. The provider is doing business as Ssm Health St Agnes Hospital Fond Du Lac.

Where is Agnesian Healthcare, Inc located?

Agnesian Healthcare, Inc is located at 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 929-2300.

What is Agnesian Healthcare, Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Agnesian Healthcare, Inc enrolled in Medicare?

Yes. Agnesian Healthcare, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agnesian Healthcare, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 604 clinicians in 49 Medicare specialties reassign their Medicare billing to Agnesian Healthcare, Inc. 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 (159), Psychiatry (40) and Family Practice (35). Of these, 87 practice at this address and 239 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Agnesian Healthcare, Inc a Medicare-certified hospital?

Yes. St. Agnes Hospital Hospice is a Medicare-certified hospital (Acute Care Hospitals). The hospital provides emergency services.

What quality rating does Agnesian Healthcare, Inc have?

CMS rates St. Agnes Hospital Hospice 4 out of 5 stars overall on Care Compare, based on measures of safety, patient experience and outcomes. The full measure detail is in the Hospital Quality Ratings section above.

What insurance does Agnesian Healthcare, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and Quartz list Agnesian Healthcare, Inc 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 Agnesian Healthcare, Inc was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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