BELLIN MEMORIAL HOSPITAL INC
NPI 1699737379
Clinic/Center - Rural Health in Kewaunee, WI
About Bellin Memorial Hospital Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BELLIN MEMORIAL HOSPITAL INC (NPI 1699737379), doing business as Fmc Kewaunee, is a healthcare organization registered as a rural health in Kewaunee, Wisconsin and active in the NPI registry since April 2006. The organization lists Abby Julia Engebose, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bellin Memorial Hospital Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
873Medicare enrollment records show 873 clinicians reassign Medicare billing to Bellin Memorial Hospital Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 50
Nearest to this location (20)
See all 873Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bellin Memorial Hospital Inc's NPI number?
The NPI number for Bellin Memorial Hospital Inc is 1699737379. It was assigned to this organization in the NPPES registry on April 6, 2006. The provider is doing business as FMC Kewaunee.
Where is Bellin Memorial Hospital Inc located?
Bellin Memorial Hospital Inc is located at 575 4th St, Kewaunee, WI 54216. The listed phone number is (920) 388-4640.
What is Bellin Memorial Hospital Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Bellin Memorial Hospital Inc enrolled in Medicare?
Yes. Bellin Memorial Hospital Inc is registered in the Medicare PECOS enrollment system.
When is Bellin Memorial Hospital Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Wisconsin, Rural Health Clinic) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bellin Memorial Hospital Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 873 clinicians in 50 Medicare specialties reassign their Medicare billing to Bellin Memorial Hospital 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 (224), Physical Therapist in Private Practice (118) and Family Practice (57). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bellin Memorial Hospital Inc accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Bellin Memorial Hospital 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 Bellin Memorial Hospital Inc was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Bellin Memorial Hospital Inc · NPI 1699737379
Rural Health organization in Kewaunee, Wisconsin. Organization record, active in the CMS NPPES registry since April 6, 2006.
## Identity
- **NPI:** 1699737379 (Entity type: Organization)
- **Enumerated:** April 6, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** FMC KEWAUNEE (Doing Business As)
- **Organization subpart:** Yes (part of Bellin Memorial Hospital Inc)
- **Authorized official:** Abby Engebose, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 575 4TH ST, Kewaunee, WI 54216-1785
- **Phone:** (920) 388-4640
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Part A, Wisconsin, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 873 clinicians in 50 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (224), Physical Therapist in Private Practice (118), Family Practice (57); 5 practice at this address; [full list](https://npiprofile.com/npi/1699737379/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699737379) · Data from the CMS NPPES public registry.