FROEDTERT MANITOWOC MEDICAL GROUP, LLC
NPI 1437829975
Clinic/Center - Multi-Specialty in Manitowoc, WI
About Froedtert Manitowoc Medical Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FROEDTERT MANITOWOC MEDICAL GROUP, LLC (NPI 1437829975), doing business as Froedtert Northeast Medical Group, is a healthcare organization registered as a multi-specialty in Manitowoc, Wisconsin and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through August 30, 2027, maintains 9 additional practice locations, and lists Michael W Degere, Secretary/treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 9
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Froedtert Manitowoc Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
350Medicare enrollment records show 350 clinicians reassign Medicare billing to Froedtert Manitowoc Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 68 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 43
Nearest to this location (20)
See all 350Manitowoc, WI 54220
Manitowoc, WI 54220
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 52D0958116
Froedtert Manitowoc Medical Group, LLC · Manitowoc, 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 Froedtert Manitowoc Medical Group, LLC's NPI number?
The NPI number for Froedtert Manitowoc Medical Group, LLC is 1437829975. It was assigned to this organization in the NPPES registry on September 16, 2021. The provider is doing business as Froedtert Northeast Medical Group.
Where is Froedtert Manitowoc Medical Group, LLC located?
Froedtert Manitowoc Medical Group, LLC is located at 2300 Western Ave, Manitowoc, WI 54220. The listed phone number is (920) 320-2436.
What is Froedtert Manitowoc Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Froedtert Manitowoc Medical Group, LLC enrolled in Medicare?
Yes. Froedtert Manitowoc Medical Group, LLC is registered in the Medicare PECOS enrollment system.
When is Froedtert Manitowoc Medical Group, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wisconsin, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Froedtert Manitowoc Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 350 clinicians in 43 Medicare specialties reassign their Medicare billing to Froedtert Manitowoc Medical Group, LLC. 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 (56), Emergency Medicine (48) and Neurology (48). Of these, 20 practice at this address and 68 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Froedtert Manitowoc Medical Group, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D0958116) is associated with this NPI, valid through August 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Froedtert Manitowoc Medical Group, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners and Network Health list Froedtert Manitowoc Medical Group, LLC 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 Froedtert Manitowoc Medical Group, LLC was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Froedtert Manitowoc Medical Group, Llc · NPI 1437829975
Multi-Specialty organization in Manitowoc, Wisconsin. Organization record, active in the CMS NPPES registry since September 16, 2021.
## Identity
- **NPI:** 1437829975 (Entity type: Organization)
- **Enumerated:** September 16, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Froedtert Northeast Medical Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Michael Degere, SECRETARY/TREASURER
## Practice location
- **Address:** 2300 WESTERN AVE, Manitowoc, WI 54220-3712
- **Phone:** (920) 320-2436
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Wisconsin, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 350 clinicians in 43 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (56), Emergency Medicine (48), Neurology (48); 20 practice at this address and 68 within 10 miles; [full list](https://npiprofile.com/npi/1437829975/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1437829975) · Data from the CMS NPPES public registry.