MERCURY FAMILY MEDICAL CENTER
NPI 1356476543
Clinic/Center - Multi-Specialty in Fond Du Lac, WI
About Mercury Family Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCURY FAMILY MEDICAL CENTER (NPI 1356476543) is a healthcare organization registered as a multi-specialty in Fond Du Lac, Wisconsin and active in the NPI registry since February 2007. The organization lists Stephanie K Krupp, Business Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mercury Family Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
604Medicare enrollment records show 604 clinicians reassign Medicare billing to Mercury Family Medical Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 242 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 49
Nearest to this location (20)
See all 604Source: 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 Agnesian Healthcare Inc's NPI number?
The NPI number for Agnesian Healthcare Inc is 1356476543. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is doing business as Mercury Family Medical Center.
Where is Agnesian Healthcare Inc located?
Agnesian Healthcare Inc is located at 912 S Hickory St, Fond Du Lac, WI 54935. The listed phone number is (920) 929-7490.
What is Agnesian Healthcare Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
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, 4 practice at this address and 242 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 Agnesian Healthcare Inc was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mercury Family Medical Center · NPI 1356476543
Multi-Specialty organization in Fond Du Lac, Wisconsin. Organization record, active in the CMS NPPES registry since February 21, 2007.
## Identity
- **NPI:** 1356476543 (Entity type: Organization)
- **Enumerated:** February 21, 2007
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Agnesian Healthcare Inc
- **Organization subpart:** No
- **Authorized official:** Stephanie Krupp, BUSINESS DIRECTOR
## Practice location
- **Address:** 912 S HICKORY ST, Fond Du Lac, WI 54935-5530
- **Phone:** (920) 929-7490
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 604 clinicians in 49 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (159), Psychiatry (40), Family Practice (35); 4 practice at this address and 242 within 10 miles; [full list](https://npiprofile.com/npi/1356476543/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2008
- **Other identifiers:** Other =========101 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1356476543) · Data from the CMS NPPES public registry.