NORTHEAST WISCONSIN RETINA ASSOCIATES SC
NPI 1437164175
Ophthalmology - Retina Specialist in Appleton, WI
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
Specialties & Licenses
Group Practice 1
Accepted 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)
Northeast Wisconsin Retina Associates Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Northeast Wisconsin Retina Associates Sc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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
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, WIFrequently 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.
Is Northeast Wisconsin Retina Associates Sc enrolled in Medicare?
Yes. Northeast Wisconsin Retina Associates Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeast Wisconsin Retina Associates Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Ophthalmology, reassign their Medicare billing to Northeast Wisconsin Retina Associates Sc. 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. Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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), Dean Health Plan and HealthPartners and 2 other insurers 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 3 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.
# Northeast Wisconsin Retina Associates Sc · NPI 1437164175
Retina Specialist organization in Appleton, Wisconsin. Organization record, active in the CMS NPPES registry since July 30, 2006.
## Identity
- **NPI:** 1437164175 (Entity type: Organization)
- **Enumerated:** July 30, 2006
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **Organization subpart:** No
- **Authorized official:** Amy Debruin, BILLING DEPARTMENT MANAGER
## Practice location
- **Address:** 442 N WESTHILL BLVD STE A, Appleton, WI 54914-5830
- **Phone:** (920) 751-8666 · **Fax:** (920) 751-0288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1437164175) · Data from the CMS NPPES public registry.