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

Active since February 21, 2007
912 S HICKORY ST, FOND DU LAC, WI 54935(920) 929-7490 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1356476543
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameAGNESIAN HEALTHCARE INC
Location Address912 S HICKORY STFond Du Lac, WI 54935-5530
Mailing Address912 S Hickory StFond Du Lac, WI 54935-5530 · (920) 929-7490
Phone(920) 929-7490
Organization SubpartNo
Authorized OfficialStephanie K KruppBusiness Director · (920) 907-3907
Enumeration DateFebruary 21, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1356476543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
912 S HICKORY ST, Fond Du Lac, WI 54935
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Other Names 1

Doing Business AsMercury Family Medical Center

Other Identifiers 1

Other=========101WI · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEFANIE MAE PETRIE APNP
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 907-3922
CONSULTANTS LABORATORY OF WISCONSIN, LLC
Clinical Medical Laboratory
912 S HICKORY ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-7490
DR. KEVIN ANDREW JESSEN M.D.
Family Medicine
912 S HICKORY ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-7490
MARY A MELLENTHIN APNP
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 907-3922
SARAH KATHERINE DAVIS APNP
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 907-3922
AGNESIAN HEALTHCARE INC
Pharmacy (Community/Retail Pharmacy)
912 S HICKORY ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-7480
MELISSA L TATE APNP
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 907-3922
LISA BRENNAN FNP
Nurse Practitioner (Family)
912 S HICKORY ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 907-3922

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.

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.