ST. NICHOLAS HOSPITAL SHEBOYGAN SURGERY CENTER
NPI 1568992337
Clinic/Center - Multi-Specialty in Sheboygan, WI

Active since June 14, 2017CLIA 52D1082577 · Waiver
3141 SAEMANN AVE, SHEBOYGAN, WI 53081(920) 783-5000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2022, Dec 27, 2021, Dec 22, 2021 and 1 more (4 updates tracked since 2017).

About St. Nicholas Hospital Sheboygan Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. NICHOLAS HOSPITAL SHEBOYGAN SURGERY CENTER (NPI 1568992337) is a healthcare organization registered as a multi-specialty in Sheboygan, Wisconsin and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through May 2, 2027 and lists Justin Selle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568992337
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST. FRANCIS
Location Address3141 SAEMANN AVESheboygan, WI 53081-1957
Mailing Address3141 Saemann AveSheboygan, WI 53081-1957 · (920) 783-5000
Organization SubpartNo
Authorized OfficialJustin SelleCeo · (920) 459-4798
Enumeration DateJune 14, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedDecember 27, 2021
✔ NPI 1568992337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
3141 SAEMANN AVE, Sheboygan, WI 53081

Other Names 1

Doing Business AsSt. Nicholas Hospital Sheboygan Surgery Center

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 52D1082577

St Nicholas Hospital - Sheboygan Surgery Center · Sheboygan, WI
Active · expires May 2, 2027
CLIA Number52D1082577
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorDr. Robert T. Cutlan
Laboratory Phone(920) 783-1250
Laboratory LocationSt Nicholas Hospital - Sheboygan Surgery Center3141 Saemann Ave, Sheboygan, WI 53081
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
3141 SAEMANN AVE
SHEBOYGAN, WI 53081

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 St. Nicholas Hospital-Sisters Of The Third Order Of St. Francis's NPI number?

The NPI number for St. Nicholas Hospital-Sisters Of The Third Order Of St. Francis is 1568992337. It was assigned to this organization in the NPPES registry on June 14, 2017. The provider is doing business as St. Nicholas Hospital Sheboygan Surgery Center.

Where is St. Nicholas Hospital-Sisters Of The Third Order Of St. Francis located?

St. Nicholas Hospital-Sisters Of The Third Order Of St. Francis is located at 3141 Saemann Ave, Sheboygan, WI 53081. The listed phone number is (920) 783-5000.

What is St. Nicholas Hospital-Sisters Of The Third Order Of St. Francis's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does St. Nicholas Hospital-Sisters Of The Third Order Of St. Francis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D1082577) is associated with this NPI, valid through May 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Nicholas Hospital-Sisters Of The Third Order Of St. Francis was last updated on July 21, 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.