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

Q: 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.

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: July 26, 2026.

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

On this page

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

Phone(920) 886-9380

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

Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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.

Leave this field empty

Other Providers at the Same Location NPPES 18

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

KATIE GEISER NP

Nurse Practitioner