MERCURY FAMILY MEDICAL CENTER
NPI 1356476543
Clinic/Center - Multi-Specialty in Fond Du Lac, WI

NPI Status: Active since February 21, 2007

Contact Information

912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
Phone: (920) 929-7490

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About MERCURY FAMILY MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Mercury Family Medical Center, a provider established in Fond Du Lac, Wisconsin operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1356476543 assigned on February 2007. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Mercury Family Medical Center. The authorized official of this NPI record is Stephanie K Krupp (Business Director)

NPI
1356476543
Provider Legal Name
AGNESIAN HEALTHCARE INC
Other Organization Name
MERCURY FAMILY MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
912 S HICKORY ST FOND DU LAC, WI 54935
Location Phone
(920) 929-7490
Mailing Address
912 S HICKORY ST FOND DU LAC, WI 54935
Mailing Phone
(920) 929-7490
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-21-2007
Last Update Date
04-20-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHANIE K KRUPP

Authorized Official Title
BUSINESS DIRECTOR
Authorized Official Phone
(920) 907-3907

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========101OTHER (01)WIBLUE CROSS BLUE SHIELD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356476543, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 8 + 7 + 1 + 2 + 5 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1356476543.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Family Medicine
912 S HICKORY ST
FOND DU LAC, WI 54935
Durable Medical Equipment & Medical Supplies
912 S HICKORY ST
FOND DU LAC, WI 54935
Pharmacist
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Adult Health)
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Physician Assistant
912 S HICKORY ST
FOND DU LAC, WI 54935
Family Medicine
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Clinical Medical Laboratory
912 S HICKORY ST
FOND DU LAC, WI 54935
Pharmacy (Community/Retail Pharmacy)
912 S HICKORY ST
FOND DU LAC, WI 54935
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356476543, enumerated as an "organization" on February 21, 2007.

The provider is located at 912 S HICKORY ST FOND DU LAC, WI 54935 and the phone number is (920) 929-7490.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.