SHEBOYGAN PHYSICIANS GROUP, SC
NPI 1477819902
Internal Medicine in Sheboygan, WI
About Sheboygan Physicians Group, Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHEBOYGAN PHYSICIANS GROUP, SC (NPI 1477819902) is a healthcare organization registered as an internal medicine in Sheboygan, Wisconsin and active in the NPI registry since April 2012. The organization holds an CLIA Accreditation certificate valid through June 13, 2028, maintains a secondary practice location in Sheboygan, and lists Kelley Renzelmann, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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)
Sheboygan Physicians Group, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Sheboygan Physicians Group, Sc, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 21Source: 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 Accreditation 52D0914318
Sheboygan Physicians Group, Sc · Sheboygan, 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 Sheboygan Physicians Group, Sc's NPI number?
The NPI number for Sheboygan Physicians Group, Sc is 1477819902. It was assigned to this organization in the NPPES registry on April 10, 2012.
Where is Sheboygan Physicians Group, Sc located?
Sheboygan Physicians Group, Sc is located at 2920 Superior Ave, Sheboygan, WI 53081. The listed phone number is (920) 452-6000.
What is Sheboygan Physicians Group, Sc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sheboygan Physicians Group, Sc enrolled in Medicare?
Yes. Sheboygan Physicians Group, Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sheboygan Physicians Group, Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 3 Medicare specialties reassign their Medicare billing to Sheboygan Physicians Group, 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. The largest specialties are Nurse Practitioner (12), Internal Medicine (6) and Hematology/Oncology (3). Of these, 10 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sheboygan Physicians Group, Sc hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 52D0914318) is associated with this NPI, valid through June 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sheboygan Physicians Group, Sc accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 40 other insurers list Sheboygan Physicians Group, 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 Sheboygan Physicians Group, Sc was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Sheboygan Physicians Group, Sc · NPI 1477819902
Internal Medicine organization in Sheboygan, Wisconsin. Organization record, active in the CMS NPPES registry since April 10, 2012.
## Identity
- **NPI:** 1477819902 (Entity type: Organization)
- **Enumerated:** April 10, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Kelley Renzelmann, ADMINISTRATOR
## Practice location
- **Address:** 2920 SUPERIOR AVE, Sheboygan, WI 53081-1944
- **Phone:** (920) 452-6000 · **Fax:** (920) 803-2990
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Internal Medicine (6), Hematology/Oncology (3); 10 practice at this address and 15 within 10 miles; [full list](https://npiprofile.com/npi/1477819902/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 11, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477819902) · Data from the CMS NPPES public registry.