ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
NPI 1831890177
Internal Medicine - Cardiovascular Disease in Appleton, WI

Active since March 14, 2023CLIA 52D2163824 · Certificate of Compliance
5045 W GRANDE MARKET DR, APPLETON, WI 54913(920) 886-9380 Get Directions Write a Review

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

Record update history: May 18, 2026, Mar 27, 2023, Mar 14, 2023 (3 updates tracked since 2023).

About Ascension Medical Group-fox Valley Wisconsin, Inc NPPES

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

ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (NPI 1831890177) is a healthcare organization registered as a cardiovascular disease in Appleton, Wisconsin and active in the NPI registry since March 2023. The organization holds a CLIA Certificate of Compliance certificate valid through May 1, 2028 and lists David Jirovec, Sr Finance Director - Medical Group, as its authorized official.

NPPES Registry Identity

NPI1831890177
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC
Location Address5045 W GRANDE MARKET DRAppleton, WI 54913-8517
Mailing AddressPo Box 850005Minneapolis, MN 55485-0005
Organization SubpartNo
Authorized OfficialDavid JirovecSr Finance Director - Medical Group · (715) 347-6655
Enumeration DateMarch 14, 2023
Last NPPES UpdateMay 18, 20263 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1831890177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5045 W GRANDE MARKET DR, Appleton, WI 54913

Other Names 1

Other NameAmg Heart & Vascular

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Ascension Medical Group-fox Valley Wisconsin, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

32

Medicare enrollment records show 32 clinicians reassign Medicare billing to Ascension Medical Group-Fox Valley Wisconsin, Inc, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner14
Cardiovascular Disease (Cardiology)10
Interventional Cardiology6
Cardiac Electrophysiology2

Nearest to this location (20)

See all 32
Nurse Practitioner
NPI 1376386722
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1750812491
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952974206
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1396703732
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013648591
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1629045232
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407529001
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366137333
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1801971221
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1649220229
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1104878149
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1689626632
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1831176338
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1356970156
5045 W GRANDE MARKET DR
Appleton, WI 54913
(920) 886-9380
✔ PECOSSame address
Nurse Practitioner
NPI 1952636367
1506 S ONEIDA ST
Appleton, WI 54915
(920) 730-6700
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1003584145
1818 N MEADE ST
Appleton, WI 54911
(920) 731-8900
✔ PECOS✔ Accepts Medicare4.5 mi
Interventional Cardiology
NPI 1689870370
1818 N MEADE ST
Appleton, WI 54911
(920) 731-8900
✔ PECOS✔ Accepts Medicare4.5 mi
Cardiovascular Disease (Cardiology)
NPI 1568413466
1818 N MEADE ST
Appleton, WI 54911
(920) 731-8900
✔ PECOS✔ Accepts Medicare4.5 mi
Cardiac Electrophysiology
NPI 1285608984
1818 N MEADE ST
Appleton, WI 54911
(920) 731-8900
✔ PECOS✔ Accepts Medicare4.5 mi
Cardiovascular Disease (Cardiology)
NPI 1518275718
1506 S ONEIDA ST
Appleton, WI 54915
(920) 730-2640
✔ PECOS✔ Accepts Medicare4.5 mi
See all 32 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Compliance 52D2163824

Ascension Medical Group-Fox Valley Wisconsin, Inc · Appleton, WI
Active · expires May 1, 2028
CLIA Number52D2163824
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorDr. Anne Prater
Laboratory Phone(920) 886-9380
Laboratory LocationAscension Medical Group-Fox Valley Wisconsin, Inc5045 W Grande Market Drive, Appleton, WI 54913
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Ascension Medical Group-Fox Valley Wisconsin, Inc's NPI number?

The NPI number for Ascension Medical Group-Fox Valley Wisconsin, Inc is 1831890177. It was assigned to this organization in the NPPES registry on March 14, 2023. The provider is also known as AMG Heart & Vascular.

Where is Ascension Medical Group-Fox Valley Wisconsin, Inc located?

Ascension Medical Group-Fox Valley Wisconsin, Inc is located at 5045 W Grande Market Dr, Appleton, WI 54913. The listed phone number is (920) 886-9380.

What is Ascension Medical Group-Fox Valley Wisconsin, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ascension Medical Group-Fox Valley Wisconsin, Inc enrolled in Medicare?

Yes. Ascension Medical Group-Fox Valley Wisconsin, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ascension Medical Group-Fox Valley Wisconsin, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 4 Medicare specialties reassign their Medicare billing to Ascension Medical Group-Fox Valley Wisconsin, 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 (14), Cardiovascular Disease (Cardiology) (10) and Interventional Cardiology (6). Of these, 14 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ascension Medical Group-Fox Valley Wisconsin, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 52D2163824) is associated with this NPI, valid through May 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ascension Medical Group-Fox Valley Wisconsin, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and Dean Health Plan list Ascension Medical Group-Fox Valley Wisconsin, 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 Ascension Medical Group-Fox Valley Wisconsin, Inc was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.