(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM SPECIALTY CLINIC
NPI 1508184896
Clinic/Center in Beaver Dam, WI

Active since May 11, 2010
3/5
Overall Rating
705 S UNIVERSITY AVE STE 360, BEAVER DAM, WI 53916(920) 356-6588(920) 356-6567 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2022, Jan 9, 2020, Oct 31, 2019 and 1 more (4 updates tracked since 2019).

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

NPI1508184896
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBEAVER DAM COMMUNITY HOSPITALS INC
Location Address705 S UNIVERSITY AVE STE 360Beaver Dam, WI 53916-3080
Mailing Address1000 N Oak Ave, Attn: Provider Enrollment Services/wwpMarshfield, WI 54449-5703 · (715) 389-0660
Fax(920) 356-6567
Organization SubpartYesParent: Marshfield Clinic Health System Inc
Authorized OfficialGordon T EdwardsCfo/coo/ao · (715) 387-5823
Enumeration DateMay 11, 2010
Last NPPES UpdateMarch 3, 20224 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1508184896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
705 S UNIVERSITY AVE STE 360, Beaver Dam, WI 53916

Other Names 1

Doing Business As(inactive) Marshfield Medical Center - Beaver Dam Specialty Clinic

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

1,444

Medicare 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

Nurse Practitioner216
Certified Registered Nurse Anesthetist (CRNA)159
Emergency Medicine131
Physical Therapist in Private Practice107
Anesthesiology81
Hospitalist76
Obstetrics/Gynecology58
Family Practice52
57 other specialties564

Nearest to this location (20)

See all 1,444
Family Practice
NPI 1154819761
705 S UNIVERSITY AVE STE 400
Beaver Dam, WI 53916
(208) 887-5975
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1346711108
705 S UNIVERSITY AVE STE 300
Beaver Dam, WI 53916
(262) 370-8358
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1073802161
705 S UNIVERSITY AVE STE 200
Beaver Dam, WI 53916
(920) 887-9272
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1851386213
705 S UNIVERSITY AVE SUITE 300
Beaver Dam, WI 53916
(920) 885-6090
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1821086000
705 S UNIVERSITY AVE STE 350
Beaver Dam, WI 53916
(920) 887-0379
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831549005
705 S UNIVERSITY AVE SUITE 300
Beaver Dam, WI 53916
(920) 885-6090
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1578544029
705 S UNIVERSITY AVE STE 150
Beaver Dam, WI 53916
(920) 219-4009
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1659366821
705 S UNIVERSITY AVE SUITE 300
Beaver Dam, WI 53916
(920) 885-6090
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1992458376
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 356-6558
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1649899709
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 821-0071
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1326636135
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
Same address
Interventional Cardiology
NPI 1437123049
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 356-6588
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1184987364
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-4039
Same address
Anesthesiology
NPI 1942399480
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1336766971
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
✔ PECOSSame address
Pathology
NPI 1245200427
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
✔ PECOSSame address
Podiatry
NPI 1467009233
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 219-4009
✔ PECOS✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1972288017
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
Same address
Dermatology
NPI 1316365737
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1689868796
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-6612
✔ PECOS✔ Accepts MedicareSame address
See all 1,444 clinicians

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, WI
3/5 CMS Overall Rating
OwnershipNon profit - Other
CMS Certification Number525447
Certified Beds115 beds54 residents per day on average
Medicare & Medicaid Participant SinceNovember 15, 1989
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
16
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 0.77 · LPN 0.09 · RN 0.44
1.3 hrs per resident per day
Weekend Nurse Staffing
1.32 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
43.8%
Registered Nurse Turnover
45%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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.