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NORTHEAST WISCONSIN RETINA ASSOCIATES SC
NPI 1437164175
Ophthalmology - Retina Specialist in Appleton, WI

Active since July 30, 2006CLIA 52D2339274 · Waiver
442 N WESTHILL BLVD STE A, APPLETON, WI 54914(920) 751-8666(920) 751-0288 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2023, Oct 3, 2022, Dec 11, 2017 (3 updates tracked since 2017).

About Northeast Wisconsin Retina Associates Sc NPPES

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

NORTHEAST WISCONSIN RETINA ASSOCIATES SC (NPI 1437164175) is a healthcare organization registered as a retina specialist in Appleton, Wisconsin and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 25, 2028 and lists Amy Debruin, Billing Department Manager, as its authorized official.

NPPES Registry Identity

NPI1437164175
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameNORTHEAST WISCONSIN RETINA ASSOCIATES SC
Location Address442 N WESTHILL BLVD STE AAppleton, WI 54914-5830
Mailing Address442 N Westhill Blvd Ste AAppleton, WI 54914-5830 · (920) 751-8666 · Fax (920) 751-0288
Phone(920) 751-8666
Fax(920) 751-0288
Organization SubpartNo
Authorized OfficialAmy DebruinBilling Department Manager · (920) 751-8666
Enumeration DateJuly 30, 2006
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1437164175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
442 N WESTHILL BLVD STE A, Appleton, WI 54914
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 Waiver 52D2339274

Northeast Wisconsin Retina Associates (nwra) · Appleton, WI
Active · expires Feb 25, 2028
CLIA Number52D2339274
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorDr. Michael E. Possin
Laboratory Phone(920) 751-8666
Laboratory LocationNortheast Wisconsin Retina Associates (nwra)442 N Westhill Blvd, Ste A, Appleton, WI 54914
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ANTHONY PARENDO M.D.
Ophthalmology (Retina Specialist)
442 N WESTHILL BLVD STE A
APPLETON, WI 54914
Outagamie County (920) 751-8666
DR. BENJAMIN JOHN ERNST M.D.
Ophthalmology (Retina Specialist)
442 N WESTHILL BLVD STE A
APPLETON, WI 54914
Outagamie County (920) 751-8666
MICHAEL EDWARD POSSIN M.D.
Ophthalmology (Retina Specialist)
442 N WESTHILL BLVD STE A
APPLETON, WI 54914
Outagamie County (920) 751-8666

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 Northeast Wisconsin Retina Associates Sc's NPI number?

The NPI number for Northeast Wisconsin Retina Associates Sc is 1437164175. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Northeast Wisconsin Retina Associates Sc located?

Northeast Wisconsin Retina Associates Sc is located at 442 N Westhill Blvd Ste A, Appleton, WI 54914. The listed phone number is (920) 751-8666.

What is Northeast Wisconsin Retina Associates Sc's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Does Northeast Wisconsin Retina Associates Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2339274) is associated with this NPI, valid through February 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Wisconsin Retina Associates Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Northeast Wisconsin Retina Associates Sc 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 Northeast Wisconsin Retina Associates Sc was last updated on August 29, 2023. 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.