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BELLIN HEALTH
NPI 1407033111
Family Medicine in Green Bay, WI

Active since January 24, 2008CLIA Certified · 4 labs
2015 SHAWANO AVE, GREEN BAY, WI 54303(920) 592-9478(920) 592-9479 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2021, Sep 17, 2019, Jul 31, 2019 and 1 more (4 updates tracked since 2019).

About Bellin Health NPPES

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

BELLIN HEALTH (NPI 1407033111) is a healthcare organization registered as a family medicine in Green Bay, Wisconsin and active in the NPI registry since January 2008. The organization holds 4 active CLIA laboratory certificates and lists Denise K Stroobants, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1407033111
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBELLIN MEMORIAL HOSPITAL INC
Location Address2015 SHAWANO AVEGreen Bay, WI 54303-2606
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289
Phone(920) 592-9478
Fax(920) 592-9479
Organization SubpartNo
Authorized OfficialDenise K StroobantsCredentialing Specialist · (920) 433-7864
Enumeration DateJanuary 24, 2008
Last NPPES UpdateOctober 18, 20214 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
✔ NPI 1407033111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2015 SHAWANO AVE, Green Bay, WI 54303
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Other Names 1

Doing Business AsBellin Health

Other Identifiers 1

Other52D1054543WI · Clia Waiver

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 CareSource (Common Ground Healthcare).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)

Bellin Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

873

Medicare enrollment records show 873 clinicians reassign Medicare billing to Bellin Health, which bills Medicare for the services they deliver. Of these, 549 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 50

Nurse Practitioner224
Physical Therapist in Private Practice118
Family Practice57
Certified Registered Nurse Anesthetist (CRNA)41
Mental Health Counselor35
Clinical Social Worker32
Neurology29
Cardiovascular Disease (Cardiology)23
42 other specialties314

Nearest to this location (20)

See all 873
Allison Combs, APNP
Nurse Practitioner
NPI 1285306035
2015 SHAWANO AVE
Green Bay, WI 54303
(920) 592-9478
✔ PECOS✔ Accepts MedicareSame address
Megan Drewieske, APNP
Nurse Practitioner
NPI 1881133866
1860 SHAWANO AVE
Green Bay, WI 54303
(920) 433-3500
✔ PECOS✔ Accepts Medicare0.3 mi
Tiffany Laughlin, APNP
Nurse Practitioner
NPI 1316222771
1860 SHAWANO AVE
Green Bay, WI 54303
(209) 496-4700
✔ PECOS✔ Accepts Medicare0.3 mi
Samantha Seiltz, NP
Nurse Practitioner
NPI 1629851134
1860 SHAWANO AVE
Green Bay, WI 54303
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.3 mi
Bela Ballo, MD
Diagnostic Radiology
NPI 1275551160
1789 SHAWANO AVE
Green Bay, WI 54303
(920) 499-1428
✔ PECOS✔ Accepts Medicare0.4 mi
Jesse Borman, MD
Diagnostic Radiology
NPI 1508046418
1789 SHAWANO AVE
Green Bay, WI 54303
(920) 499-1428
✔ PECOS✔ Accepts Medicare0.4 mi
Douglas Coyle, MD
Diagnostic Radiology
NPI 1912932054
1789 SHAWANO AVE
Green Bay, WI 54303
(920) 499-1428
✔ PECOS✔ Accepts Medicare0.4 mi
Richard Horak, M.D.
Diagnostic Radiology
NPI 1902092059
1789 SHAWANO AVE
Green Bay, WI 54303
(920) 499-1428
✔ PECOS✔ Accepts Medicare0.4 mi
Riley Smyth, M.D.
Diagnostic Radiology
NPI 1275791832
1789 SHAWANO AVE
Green Bay, WI 54303
(920) 499-2766
✔ PECOS✔ Accepts Medicare0.4 mi
Michael Ryan, M.D.
Orthopedic Surgery
NPI 1124314612
1726 SHAWANO AVE
Green Bay, WI 54303
(920) 496-4700
✔ PECOS✔ Accepts Medicare0.6 mi
Mark Kroll, D.O.
Family Practice
NPI 1124030499
2253 W MASON ST
Green Bay, WI 54303
(920) 327-7000
✔ PECOS✔ Accepts Medicare0.9 mi
Izabela Ditchen, MD
Family Practice
NPI 1104800911
2714 RIVERVIEW DR
Green Bay, WI 54313
(920) 430-4760
✔ PECOS✔ Accepts Medicare1.5 mi
Teaghan Everard
Mental Health Counselor
NPI 1629955158
2714 RIVERVIEW DR
Green Bay, WI 54313
(920) 445-7377
✔ PECOS✔ Accepts Medicare1.5 mi
Donald Hartig, MD
Internal Medicine
NPI 1073597803
2714 RIVERVIEW DR
Green Bay, WI 54313
(920) 430-4760
✔ PECOS✔ Accepts Medicare1.5 mi
Matthew Opolka, P.T.
Physical Therapist in Private Practice
NPI 1174866966
2714 RIVERVIEW DR
Green Bay, WI 54313
(920) 430-4760
✔ Accepts Medicare1.5 mi
Kathryn Warren, APNP
Nurse Practitioner
NPI 1255747325
2714 RIVERVIEW DR
Green Bay, WI 54313
(920) 430-4760
✔ PECOS✔ Accepts Medicare1.5 mi
David Ruta, MD
Orthopedic Surgery
NPI 1326369190
1970 S RIDGE RD
Green Bay, WI 54304
(920) 430-4888
✔ PECOS✔ Accepts Medicare2.4 mi
Jacob Lanzendorf, OT
Occupational Therapist in Private Practice
NPI 1972157840
1970 S RIDGE RD
Green Bay, WI 54304
(920) 430-4888
✔ Accepts Medicare2.4 mi
Eric Abdul, MD
Preventive Medicine
NPI 1023379328
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ PECOS✔ Accepts Medicare3.3 mi
Jane Danowit, MD
Pediatric Medicine
NPI 1427032218
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4585
✔ PECOS3.3 mi
See all 873 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 4

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 Compliance 52D2298559

Bellin Health Surgery & Specialty Center · Green Bay, WI
Active · expires Aug 13, 2028
CLIA Number52D2298559
Laboratory TypeHospital
Certificate Effective DateAugust 14, 2026
Certificate Expiration DateAugust 13, 2028
Laboratory DirectorDr. Nathanial Kieler
Laboratory Phone(920) 338-6823
Laboratory LocationBellin Health Surgery & Specialty Center933 Waube Lane, Green Bay, WI 54304
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 52D2034137

Bellin Health Employer Clinics · Green Bay, WI
Active · expires Dec 15, 2027
CLIA Number52D2034137
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorDr. Loren C. Fuglestad
Laboratory Phone(920) 430-4553
Laboratory LocationBellin Health Employer Clinics1630 Commanche Ave, Green Bay, WI 54313
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 52D1093324

Bellin Health Fmc Bellevue · Green Bay, WI
Active · expires Jul 28, 2027
CLIA Number52D1093324
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorDr. James Gast
Laboratory Phone(920) 433-6730
Laboratory LocationBellin Health Fmc Bellevue3263 Eaton Rd, Green Bay, WI 54311
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 52D1034038

Bellin Health Occupational Health · Green Bay, WI
Active · expires Nov 22, 2026
CLIA Number52D1034038
Laboratory TypeIndustrial
Certificate Effective DateNovember 23, 2024
Certificate Expiration DateNovember 22, 2026
Laboratory DirectorDr. Bradley B. Wozney
Laboratory Phone(920) 305-0360
Laboratory LocationBellin Health Occupational Health1630 Commanche Avenue, Green Bay, WI 54313
CLIA data matches this NPI record on: Name
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 Bellin Memorial Hospital Inc's NPI number?

The NPI number for Bellin Memorial Hospital Inc is 1407033111. It was assigned to this organization in the NPPES registry on January 24, 2008. The provider is doing business as Bellin Health.

Where is Bellin Memorial Hospital Inc located?

Bellin Memorial Hospital Inc is located at 2015 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 592-9478.

What is Bellin Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bellin Memorial Hospital Inc enrolled in Medicare?

Yes. Bellin Memorial Hospital Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bellin Memorial Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 873 clinicians in 50 Medicare specialties reassign their Medicare billing to Bellin Memorial Hospital 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 (224), Physical Therapist in Private Practice (118) and Family Practice (57). Of these, 549 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bellin Memorial Hospital Inc hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Bellin Memorial Hospital Inc accept?

Health plans from CareSource (Common Ground Healthcare) list Bellin Memorial Hospital 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 Bellin Memorial Hospital Inc was last updated on October 18, 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.