SSM HEALTH ST AGNES HOSPITAL
NPI 1578541785
Skilled Nursing Facility in Fond Du Lac, WI
NPI Status: Active since January 06, 2006
Contact Information
430 E DIVISION ST
FOND DU LAC, WI
ZIP 54935
Phone: (920) 929-2300
Fax: (920) 926-8885
- Organization
- Skilled Nursing Facility
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About SSM HEALTH ST AGNES HOSPITAL
This page provides the complete NPI Profile along with additional information for Ssm Health St Agnes Hospital, a provider established in Fond Du Lac, Wisconsin operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1578541785 assigned on January 2006. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Ssm Health St Agnes Hospital. The authorized official of this NPI record is Steven Little (Svp & Cfo)
- NPI
- 1578541785
- Provider Legal Name
- AGNESIAN HEALTHCARE, INC
- Other Organization Name
- SSM HEALTH ST AGNES HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 430 E DIVISION ST FOND DU LAC, WI 54935
- Location Phone
- (920) 929-2300
- Location Fax
- (920) 926-8885
- Mailing Address
- 430 E DIVISION ST FOND DU LAC, WI 54935
- Mailing Phone
- (920) 926-4472
- Mailing Fax
- (920) 926-8885
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-06-2006
- Last Update Date
- 03-12-2022
- Code Navigator
Ssm Health St Agnes Hospital is a medicare supplier with PTAN 20641451 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Infusion Drugs or External Infusion Pumps and/or Supplies or Parenteral Nutrients or Parenteral Equipment and/or Supplies.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 547140 | OTHER (01) | WI | DEAN CARE |
| 101159 | OTHER (01) | WI | VESTICA |
| 20182100 | MEDICAID (05) | WI |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20641451
- Accepts Medicare Assignment
- YES
- Specialities List
- Hospital, Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Infusion Drugs -
- External Infusion Pumps and/or Supplies - An infusion pump is necessary to safely administer the drug
- Parenteral Nutrients - Parenteral nutrient solutions
- Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
Reviews for SSM HEALTH ST AGNES HOSPITAL
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1578541785, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FOND DU LAC, WI 54935
FOND DU LAC, WI 54935
FOND DU LAC, WI 54935
FOND DU LAC, WI 54935
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578541785, enumerated as an "organization" on January 06, 2006.
The provider is located at 430 E DIVISION ST FOND DU LAC, WI 54935 and the phone number is (920) 929-2300.
Skilled Nursing Facility with taxonomy code 314000000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.
