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BELLIN MEMORIAL HOSPITAL INC
NPI 1912420779
Family Medicine in Green Bay, WI

Active since July 24, 2017
1630 COMMANCHE AVE STE 102, GREEN BAY, WI 54313(920) 430-4700(920) 430-4747 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2021, Jul 24, 2017 (2 updates tracked since 2017).

About Bellin Memorial Hospital Inc NPPES

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

BELLIN MEMORIAL HOSPITAL INC (NPI 1912420779), doing business as Bellin Health Ashwaubenon Urgent Care, is a healthcare organization registered as a family medicine in Green Bay, Wisconsin and active in the NPI registry since July 2017. The organization maintains a secondary practice location in Iron Mountain and lists Abby Julia Engebose, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1912420779
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBELLIN MEMORIAL HOSPITAL INC
Location Address1630 COMMANCHE AVE STE 102Green Bay, WI 54313-5753
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289
Phone(920) 430-4700
Fax(920) 430-4747
Organization SubpartYes
Authorized OfficialAbby Julia EngeboseCredentialing Specialist · (920) 433-7860
Enumeration DateJuly 24, 2017
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1912420779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1630 COMMANCHE AVE STE 102, Green Bay, WI 54313
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Other Names 2

Doing Business AsBellin Health Ashwaubenon Urgent Care
Doing Business AsBellin Health

Secondary Practice Location 1

Location 1440 Woodward AveIron Mountain, MI 49801-4631 · Phone (906) 776-9040

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 CareSource (Common Ground Healthcare).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)

Bellin Memorial Hospital Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

873

Medicare enrollment records show 873 clinicians reassign Medicare billing to Bellin Memorial Hospital Inc, which bills Medicare for the services they deliver. Of these, 67 practice at this address and 549 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 50

Nurse Practitioner224
Physical Therapist in Private Practice118
Family Practice57
Certified Registered Nurse Anesthetist (CRNA)41
Mental Health Counselor35
Clinical Social Worker32
Neurology29
Cardiovascular Disease (Cardiology)23
42 other specialties314

Nearest to this location (20)

See all 873
Eric Abdul, MD
Preventive Medicine
NPI 1023379328
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ PECOS✔ Accepts MedicareSame address
Rachel Ajack, DPT
Physical Therapist in Private Practice
NPI 1083454748
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4750
✔ Accepts MedicareSame address
Rachel Atherton, MD
Family Practice
NPI 1952891822
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ PECOS✔ Accepts MedicareSame address
Taylor Bachaus, MD
Family Practice
NPI 1942838685
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ PECOS✔ Accepts MedicareSame address
Ryan Berns, MD
Family Practice
NPI 1790272839
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ PECOS✔ Accepts MedicareSame address
Ashley Birder, APNP
Nurse Practitioner
NPI 1174072656
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4585
✔ PECOS✔ Accepts MedicareSame address
Trisha Boldt, D-PT
Physical Therapist in Private Practice
NPI 1316474893
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
Same address
Edward Bongiorno, DO
Internal Medicine
NPI 1992789754
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ PECOS✔ Accepts MedicareSame address
Jennifer Bright, PT
Physical Therapist in Private Practice
NPI 1043295629
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4750
✔ Accepts MedicareSame address
Jane Danowit, MD
Pediatric Medicine
NPI 1427032218
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4585
✔ PECOSSame address
Ashley Flannery, MD
Pediatric Medicine
NPI 1760741136
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4885
✔ PECOS✔ Accepts MedicareSame address
Jenna Fredrick, APNP
Nurse Practitioner
NPI 1528347762
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4585
✔ PECOS✔ Accepts MedicareSame address
Troy Gutzman, OTR/CHT/CEES
Occupational Therapist in Private Practice
NPI 1770533739
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ Accepts MedicareSame address
Carolyn Hale, NURSE PRACTITIONER
Nurse Practitioner
NPI 1770376196
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ PECOS✔ Accepts MedicareSame address
Ashley Hopp, LPC
Mental Health Counselor
NPI 1669097788
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4780
✔ PECOS✔ Accepts MedicareSame address
Lee Hyrkas, RD,CD
Registered Dietitian or Nutrition Professional
NPI 1114321858
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ Accepts MedicareSame address
Lynn Kitslaar, RD
Registered Dietitian or Nutrition Professional
NPI 1255316717
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ Accepts MedicareSame address
Patrick Mckenzie, MD
Orthopedic Surgery
NPI 1881620565
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 593-5555
✔ PECOSSame address
Lisa Parish, OTR
Occupational Therapist in Private Practice
NPI 1093021313
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4700
✔ Accepts MedicareSame address
Brittany Meier, LPC
Mental Health Counselor
NPI 1700581766
1630 COMMANCHE AVE
Green Bay, WI 54313
(920) 430-4780
✔ PECOS✔ Accepts MedicareSame address
See all 873 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 Bellin Memorial Hospital Inc's NPI number?

The NPI number for Bellin Memorial Hospital Inc is 1912420779. It was assigned to this organization in the NPPES registry on July 24, 2017. The provider is doing business as Bellin Health Ashwaubenon Urgent Care and Bellin Health.

Where is Bellin Memorial Hospital Inc located?

Bellin Memorial Hospital Inc is located at 1630 Commanche Ave Ste 102, Green Bay, WI 54313. The listed phone number is (920) 430-4700.

What is Bellin Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bellin Memorial Hospital Inc enrolled in Medicare?

Yes. Bellin Memorial Hospital Inc is registered in the Medicare PECOS enrollment system.

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, 67 practice at this address and 549 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bellin Memorial Hospital Inc accept?

Health plans from CareSource (Common Ground Healthcare) 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 June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.