1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Internal Medicine
  6. NPI Profile

HEMOPHILIA OUTREACH CENTER
NPI 1851390686
Internal Medicine - Hematology in Green Bay, WI

Active since July 14, 2005CLIA Certified · 2 labs
2060 BELLEVUE ST, GREEN BAY, WI 54311(920) 965-0606(920) 965-0607 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hemophilia Outreach Center NPPES

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

HEMOPHILIA OUTREACH CENTER (NPI 1851390686) is a healthcare organization registered as a hematology in Green Bay, Wisconsin and active in the NPI registry since July 2005. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Wausau, and lists Jamison Buxton, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1851390686
Entity TypeOrganization
Primary Taxonomy207RH0000X
Legal Business NameHEMOPHILIA OUTREACH OF WISCONSIN, INC.
Location Address2060 BELLEVUE STGreen Bay, WI 54311-5622
Mailing Address2060 Bellevue StGreen Bay, WI 54311-5622 · (920) 965-0606 · Fax (920) 965-0607
Phone(920) 965-0606
Fax(920) 965-0607
Organization SubpartNo
Authorized OfficialJamison BuxtonExecutive Director · (920) 965-0606
Enumeration DateJuly 14, 2005
Last NPPES UpdateFebruary 1, 2022
NPPES CertifiedSeptember 27, 2021
✔ NPI 1851390686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in WI · 40681
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X · License 5123170 (WI)
2060 BELLEVUE ST, Green Bay, WI 54311
Open in Google Maps ↗

Other Names 1

Doing Business AsHemophilia Outreach Center

Secondary Practice Location 1

Location 13550 Stewart AveWausau, WI 54401-4919 · Phone (715) 680-9810 · Fax (715) 201-9170

Other Identifiers 2

Medicaid32850600WI
Other5123170WI · Ncpdp Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 Waiver 52D2111433

Hemophilia Outreach Center · Green Bay, WI
Active · expires Apr 5, 2028
CLIA Number52D2111433
Laboratory TypeHemophilia Tx Center
Certificate Effective DateApril 6, 2026
Certificate Expiration DateApril 5, 2028
Laboratory DirectorMs. Andrea B. Miller
Laboratory Phone(920) 965-0606
Laboratory LocationHemophilia Outreach Center2060 Bellevue St, Green Bay, WI 54311
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2253390

Hemophilia Outreach Center · Wausau, WI
Active · expires Feb 20, 2028
CLIA Number52D2253390
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2026
Certificate Expiration DateFebruary 20, 2028
Laboratory DirectorJohn Mazzariello
Laboratory Phone(715) 680-9810
Laboratory LocationHemophilia Outreach Center3550 Stewart Ave, Wausau, WI 54401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ANDREA BROOKE BUXTON APNP
Nurse Practitioner (Family)
2060 BELLEVUE ST
GREEN BAY, WI 54311
Brown County (920) 965-0606
DR. LISA C PALMER D.O.
Pediatrics (Pediatric Hematology-Oncology)
2060 BELLEVUE ST
GREEN BAY, WI 54311
Brown County (920) 965-0606

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 Hemophilia Outreach Of Wisconsin, Inc.'s NPI number?

The NPI number for Hemophilia Outreach Of Wisconsin, Inc. is 1851390686. It was assigned to this organization in the NPPES registry on July 14, 2005. The provider is doing business as Hemophilia Outreach Center.

Where is Hemophilia Outreach Of Wisconsin, Inc. located?

Hemophilia Outreach Of Wisconsin, Inc. is located at 2060 Bellevue St, Green Bay, WI 54311. The listed phone number is (920) 965-0606.

What is Hemophilia Outreach Of Wisconsin, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Does Hemophilia Outreach Of Wisconsin, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Hemophilia Outreach Of Wisconsin, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 25 other insurers list Hemophilia Outreach Of 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 Hemophilia Outreach Of Wisconsin, Inc. was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.