(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM SPECIALTY CLINIC
NPI 1508184896
Clinic/Center in Beaver Dam, WI
About (inactive) Marshfield Medical Center - Beaver Dam Specialty Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM SPECIALTY CLINIC (NPI 1508184896) is a healthcare organization registered as a clinic/center in Beaver Dam, Wisconsin and active in the NPI registry since May 2010. The organization lists Gordon T Edwards, Cfo/coo/ao, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
(inactive) Marshfield Medical Center - Beaver Dam Specialty Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,444Medicare enrollment records show 1,444 clinicians reassign Medicare billing to (inactive) Marshfield Medical Center - Beaver Dam Specialty Clinic, which bills Medicare for the services they deliver. Of these, 40 practice at this address and 52 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 65
Nearest to this location (20)
See all 1,444Beaver Dam, WI 53916
Beaver Dam, WI 53916
Beaver Dam, WI 53916
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Nursing Home Quality Ratings CMS Care Compare
Quality ratings, staffing and inspection history for Hillside Manor (CMS certification number 525447), from CMS Care Compare.
Hillside Manor
Nursing home · Beaver Dam, WICMS Star Ratings
Staffing & Turnover
Inspections & Enforcement
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 Beaver Dam Community Hospitals Inc's NPI number?
The NPI number for Beaver Dam Community Hospitals Inc is 1508184896. It was assigned to this organization in the NPPES registry on May 11, 2010. The provider is doing business as (inactive) Marshfield Medical Center - Beaver Dam Specialty Clinic.
Where is Beaver Dam Community Hospitals Inc located?
Beaver Dam Community Hospitals Inc is located at 705 S University Ave Ste 360, Beaver Dam, WI 53916. The listed phone number is (920) 356-6588.
What is Beaver Dam Community Hospitals Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Beaver Dam Community Hospitals Inc enrolled in Medicare?
Yes. Beaver Dam Community Hospitals Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Beaver Dam Community Hospitals Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,444 clinicians in 65 Medicare specialties reassign their Medicare billing to Beaver Dam Community Hospitals 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 (216), Certified Registered Nurse Anesthetist (CRNA) (159) and Emergency Medicine (131). Of these, 40 practice at this address and 52 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Is Beaver Dam Community Hospitals Inc a Medicare-certified nursing home?
Yes. Hillside Manor is a Medicare-certified nursing home with 115 certified beds.
What quality rating does Beaver Dam Community Hospitals Inc have?
CMS rates Hillside Manor 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.
What insurance does Beaver Dam Community Hospitals Inc accept?
Health plans from Security Health Plan list Beaver Dam Community Hospitals 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 Beaver Dam Community Hospitals Inc was last updated on March 3, 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.