BELLIN MEMORIAL HOSPITAL INC
NPI 1962464784
Family Medicine in Brillion, WI

Q: What is Bellin Memorial Hospital Inc's NPI number?

The NPI number for Bellin Memorial Hospital Inc is 1962464784. It was assigned to this organization in the NPPES registry on April 5, 2006. The provider is doing business as FMC Brillion.

Q: What is Bellin Memorial Hospital Inc's specialty?

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

Active since April 05, 2006

235 E RYAN ST, BRILLION, WI 54110(920) 756-2055(920) 756-3350 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2025, Oct 18, 2021 (2 updates tracked since 2021).

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About Bellin Memorial Hospital Inc NPPES

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

BELLIN MEMORIAL HOSPITAL INC (NPI 1962464784), doing business as Fmc Brillion, is a healthcare organization registered as a family medicine in Brillion, Wisconsin and active in the NPI registry since April 2006. The organization lists Abby Julia Engebose, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1962464784

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBELLIN MEMORIAL HOSPITAL INC

Location Address235 E RYAN STBrillion, WI 54110-1132

Mailing Address235 E Ryan StBrillion, WI 54110-1132 · (920) 756-2055 · Fax (920) 756-3350

Phone(920) 756-2055

Fax(920) 756-3350

Organization SubpartYes

Authorized OfficialAbby Julia EngeboseCredentialing Specialist · (920) 433-7860

Enumeration DateApril 5, 2006

Last NPPES UpdateMay 28, 20252 updates tracked since enumeration

NPPES CertifiedMay 28, 2025

✔ NPI 1962464784 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.

235 E RYAN ST, Brillion, WI 54110

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Other Names 1

Doing Business AsFmc Brillion

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, 1 practice 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

Christopher Sipple, MD

Family Practice

NPI 1093799686

964 W RYAN ST SUITE B
Brillion, WI 54110

(920) 756-2055

✔ PECOS✔ Accepts Medicare1.4 mi

Stacy Mohr, M.D.

Family Practice

NPI 1770877664

305 E 12TH ST
Kaukauna, WI 54130

(920) 766-4656

✔ PECOS✔ Accepts Medicare12 mi

Talia Nennig, SLP

Qualified Speech Language Pathologist

NPI 1861013989

W6127 LORNA LN
Appleton, WI 54915

(920) 840-3033

15 mi

Amy James, MD

Internal Medicine

NPI 1972587715

2366 OAK RIDGE CIR
De Pere, WI 54115

(920) 338-1111

✔ PECOS17 mi

Amber Carlsen, AGNP

Nurse Practitioner

NPI 1982004420

2500 E CAPITOL DR SUITE 700
Appleton, WI 54911

(902) 734-9600

✔ PECOS✔ Accepts Medicare17 mi

Laurin Bellg, MD

Critical Care (Intensivists)

NPI 1073542221

2500 E CAPITOL DR SUITE 1700
Appleton, WI 54911

(920) 734-9600

✔ PECOS✔ Accepts Medicare17 mi

Susan Huber, MSW LCSW

Clinical Social Worker

NPI 1205853801

1800 LAWRENCE DR
De Pere, WI 54115

(920) 336-1229

✔ PECOS✔ Accepts Medicare17 mi

Thomas Komp, DPM

Podiatry

NPI 1265424162

1800 LAWRENCE DR
De Pere, WI 54115

(920) 983-3220

✔ PECOS✔ Accepts Medicare17 mi

Daniel Beacher, M.D.

Cardiovascular Disease (Cardiology)

NPI 1942628466

2575 E EVERGREEN DRIVE
Appleton, WI 54913

(920) 969-5353

✔ PECOS✔ Accepts Medicare17 mi

Tad Taggart, RD, CD

Registered Dietitian or Nutrition Professional

NPI 1508535006

1710 LAWRENCE DR STE 200
De Pere, WI 54115

(920) 570-6339

17 mi

Deanna Dittloff

Mental Health Counselor

NPI 1083790240

1325 ANGELS PATH
De Pere, WI 54115

(920) 338-2855

✔ PECOS✔ Accepts Medicare17 mi

Mylan Kohler, DO

Psychiatry

NPI 1457521866

1325 ANGELS PATH
De Pere, WI 54115

(920) 338-2855

✔ PECOS✔ Accepts Medicare17 mi

Kevin Hoeksema, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1316316540

1506 S ONEIDA ST
Appleton, WI 54915

(920) 738-2000

✔ PECOS✔ Accepts Medicare17 mi

Caitlin Barr, MD

Pediatric Medicine

NPI 1366930745

555 REDBIRD CIR
De Pere, WI 54115

(920) 338-6820

✔ PECOS✔ Accepts Medicare18 mi

Charis Carter, DPT

Physical Therapist in Private Practice

NPI 1033980370

555 REDBIRD CIR
De Pere, WI 54115

(920) 338-6870

18 mi

Carlie Klister, OT

Occupational Therapist in Private Practice

NPI 1760253843

555 REDBIRD CIR
De Pere, WI 54115

(920) 338-6870

18 mi

Tiffany Born, PH.D

Clinical Psychologist

NPI 1023498649

555 REDBIRD CIR STE 100
De Pere, WI 54115

(920) 338-6830

✔ PECOS18 mi

David Conrad, M.D.

Orthopedic Surgery

NPI 1356545396

820 E GRANT ST THEDACARE ORTHOPEDICS PLUS - AMC
Appleton, WI 54911

(920) 831-5050

✔ PECOS✔ Accepts Medicare18 mi

Payden White

Obstetrics/Gynecology

NPI 1477133684

2641 DEVELOPMENT DR
Green Bay, WI 54311

(920) 338-6868

✔ PECOS✔ Accepts Medicare19 mi

Nylene Brittain, CNM

Certified Nurse Midwife (CNM)

NPI 1356688493

2641 DEVELOPMENT DR
Green Bay, WI 54311

(920) 338-6868

✔ PECOS✔ Accepts Medicare19 mi

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 1962464784. It was assigned to this organization in the NPPES registry on April 5, 2006. The provider is doing business as FMC Brillion.

Where is Bellin Memorial Hospital Inc located?

Bellin Memorial Hospital Inc is located at 235 E Ryan St, Brillion, WI 54110. The listed phone number is (920) 756-2055.

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, 1 practice 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 May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.