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AGNESIAN HEALTHCARE INC
NPI 1841320884
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fond Du Lac, WI

Active since March 07, 2007
40 CAMELOT DR, FOND DU LAC, WI 54935(920) 907-8201(920) 907-8209 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Agnesian Healthcare Inc NPPES

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

AGNESIAN HEALTHCARE INC (NPI 1841320884), doing business as Ssm Health Behavioral Health, is a healthcare organization registered as a mental health (including community mental health center) in Fond Du Lac, Wisconsin and active in the NPI registry since March 2007. The organization lists Joseph R Minerath, System Director - Gov't Reimb., as its authorized official.

NPPES Registry Identity

NPI1841320884
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameAGNESIAN HEALTHCARE INC
Location Address40 CAMELOT DRFond Du Lac, WI 54935-8049
Mailing Address40 Camelot DrFond Du Lac, WI 54935-8049 · (920) 907-8201 · Fax (920) 907-8209
Phone(920) 907-8201
Fax(920) 907-8209
Organization SubpartNo
Authorized OfficialJoseph R MinerathSystem Director - Gov't Reimb. · (608) 445-2411
Enumeration DateMarch 7, 2007
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1841320884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in WI · 2226
40 CAMELOT DR, Fond Du Lac, WI 54935
Open in Google Maps ↗

Other Names 1

Doing Business AsSsm Health Behavioral Health

Other Identifiers 1

Other391995430017WI · Bcbs Group Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Medica and more.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)

Agnesian Healthcare Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

604

Medicare enrollment records show 604 clinicians reassign Medicare billing to Agnesian Healthcare Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 242 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner159
Psychiatry40
Family Practice35
Anesthesiology33
Certified Registered Nurse Anesthetist (CRNA)25
Neurology24
Emergency Medicine22
Internal Medicine19
41 other specialties247

Nearest to this location (20)

See all 604
Sarah Arnold, PSY.D.
Clinical Psychologist
NPI 1548393580
40 CAMELOT DR
Fond Du Lac, WI 54935
(920) 907-8201
✔ PECOSSame address
Robyn Meyer, LPC-IT
Mental Health Counselor
NPI 1598981417
40 CAMELOT DR
Fond Du Lac, WI 54935
(920) 907-8201
✔ PECOS✔ Accepts MedicareSame address
Bryan Mischler, LCSW
Clinical Social Worker
NPI 1255704201
40 CAMELOT DR
Fond Du Lac, WI 54935
(920) 926-2300
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Rogers Doll, PHD
Clinical Psychologist
NPI 1841404258
40 CAMELOT DR
Fond Du Lac, WI 54935
(920) 907-8201
✔ PECOSSame address
Danyel Syms, LCSW
Clinical Social Worker
NPI 1598314973
40 CAMELOT DR
Fond Du Lac, WI 54935
(920) 960-4084
✔ PECOSSame address
Bret Pasiuk, M.D.
Nephrology
NPI 1447242490
305 CAMELOT DRIVE
Fond Du Lac, WI 54935
(920) 923-2333
✔ PECOS✔ Accepts Medicare0.6 mi
Nancy Preder, DNP, APRN, BC
Nurse Practitioner
NPI 1508387127
305 CAMELOT DR
Fond Du Lac, WI 54935
(920) 926-2901
✔ PECOS✔ Accepts Medicare0.6 mi
James Schuster, MD
Dermatology
NPI 1780660308
305 CAMELOT DR
Fond Du Lac, WI 54935
(920) 926-8722
✔ PECOS✔ Accepts Medicare0.6 mi
Abby Friske, AUD, CCC-A
Qualified Audiologist
NPI 1679243935
421 CAMELOT DR
Fond Du Lac, WI 54935
(920) 926-8460
✔ Accepts Medicare0.7 mi
Robert Bertram, DPM
Podiatry
NPI 1578908042
421 CAMELOT DR
Fond Du Lac, WI 54935
(920) 926-8282
✔ PECOS✔ Accepts Medicare0.7 mi
Pamela Brown, OD
Optometry
NPI 1578554234
421 CAMELOT DR
Fond Du Lac, WI 54935
(920) 926-8472
✔ PECOS0.7 mi
John Choi, MD
Pain Management
NPI 1679557151
421 CAMELOT DR
Fond Du Lac, WI 54935
(920) 926-4939
✔ PECOS✔ Accepts Medicare0.7 mi
Nicholas Deer, D.C.
Chiropractic
NPI 1679873772
421 CAMELOT DR
Fond Du Lac, WI 54935
(920) 926-8550
✔ Accepts Medicare0.7 mi
Suhail Hariri, MD
Otolaryngology
NPI 1942281068
421 CAMELOT DR
Fond Du Lac, WI 54935
(920) 926-8460
✔ PECOS✔ Accepts Medicare0.7 mi
Kris Homb, M.D.
Physical Medicine and Rehabilitation
NPI 1366767006
421 CAMELOT DR
Fond Du Lac, WI 54935
(920) 926-8571
✔ PECOS✔ Accepts Medicare0.7 mi
Eugenia-Daniela Hord, MD
Neurology
NPI 1346209038
421 CAMELOT DR
Fond Du Lac, WI 54935
(920) 926-4939
✔ PECOS✔ Accepts Medicare0.7 mi
Glen Kemp, MD
Orthopedic Surgery
NPI 1205927282
421 CAMELOT DR
Fond Du Lac, WI 54935
(920) 926-8616
✔ PECOS0.7 mi
Richard Schaefer, MD
Plastic and Reconstructive Surgery
NPI 1760464655
421 CAMELOT DR
Fond Du Lac, WI 54935
(920) 926-8614
✔ PECOS✔ Accepts Medicare0.7 mi
Heather Schmidt, DO
Family Practice
NPI 1083711071
421 CAMELOT DR
Fond Du Lac, WI 54935
(920) 926-8500
✔ PECOS✔ Accepts Medicare0.7 mi
Adam Strittmatter, DO
Ophthalmology
NPI 1962700229
421 CAMELOT DR
Fond Du Lac, WI 54935
(920) 926-8472
✔ PECOS✔ Accepts Medicare0.7 mi
See all 604 clinicians

Source: 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 Agnesian Healthcare Inc's NPI number?

The NPI number for Agnesian Healthcare Inc is 1841320884. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is doing business as SSM Health Behavioral Health.

Where is Agnesian Healthcare Inc located?

Agnesian Healthcare Inc is located at 40 Camelot Dr, Fond Du Lac, WI 54935. The listed phone number is (920) 907-8201.

What is Agnesian Healthcare Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Agnesian Healthcare Inc enrolled in Medicare?

Yes. Agnesian Healthcare Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agnesian Healthcare Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 604 clinicians in 49 Medicare specialties reassign their Medicare billing to Agnesian Healthcare 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 (159), Psychiatry (40) and Family Practice (35). Of these, 5 practice at this address and 242 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Agnesian Healthcare Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Medica and Quartz list Agnesian Healthcare 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 Agnesian Healthcare Inc was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.