THEDACARE MEDICAL CENTER - BERLIN, INC.
NPI 1992159289
General Acute Care Hospital - Critical Access in Wautoma, WI

Active since April 22, 2016
N2930 STATE ROAD 22, WAUTOMA, WI 54982(920) 361-1313 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2024, Sep 18, 2019, Sep 6, 2019 and 1 more (4 updates tracked since 2016).

About Thedacare Medical Center - Berlin, Inc. NPPES

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

THEDACARE MEDICAL CENTER - BERLIN, INC. (NPI 1992159289), doing business as Community Health Network, Inc. And Berlin Memorial Hospital, is a healthcare organization registered as a critical access in Wautoma, Wisconsin and active in the NPI registry since April 2016. The organization lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1992159289
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameTHEDACARE MEDICAL CENTER - BERLIN, INC.
Location AddressN2930 STATE ROAD 22Wautoma, WI 54982-5267
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910
Organization SubpartYes
Authorized OfficialWilliam FlettCfo · (920) 454-4013
Enumeration DateApril 22, 2016
Last NPPES UpdateJanuary 3, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1992159289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code282NC0060X
License✔ Licensed in WI · 1060
N2930 STATE ROAD 22, Wautoma, WI 54982

Other Names 1

Former Legal Business NameCommunity Health Network, Inc. And Berlin Memorial Hospital

Other Identifiers 1

Other521355WI · Medicare Ptan

Accepted 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)

Thedacare Medical Center - Berlin, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

55

Medicare enrollment records show 55 clinicians reassign Medicare billing to Thedacare Medical Center - Berlin, Inc., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Emergency Medicine43
Family Practice5
Hospitalist2
Internal Medicine2
Anesthesiology1
Critical Care (Intensivists)1
Nurse Practitioner1

Nearest to this location (20)

See all 55
Emergency Medicine
NPI 1548256019
601 GROVE AVE
Wild Rose, WI 54984
(920) 622-3257
✔ PECOS✔ Accepts Medicare7.6 mi
Emergency Medicine
NPI 1912571662
601 GROVE AVE
Wild Rose, WI 54984
(920) 622-3257
✔ PECOS✔ Accepts Medicare7.6 mi
Family Practice
NPI 1467080739
670 COUNTY ROAD A
Green Lake, WI 54941
(920) 294-0100
✔ PECOS✔ Accepts Medicare7.8 mi
Family Practice
NPI 1679524409
502 W WATER ST
Princeton, WI 54968
(920) 295-6432
✔ PECOS✔ Accepts Medicare17 mi
Emergency Medicine
NPI 1700106796
225 MEMORIAL DR
Berlin, WI 54923
(920) 361-5525
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1396162285
225 MEMORIAL DR
Berlin, WI 54923
(920) 361-1313
✔ PECOS✔ Accepts Medicare18 mi
Emergency Medicine
NPI 1013908409
225 MEMORIAL DR
Berlin, WI 54923
(920) 361-5525
✔ PECOS18 mi
Internal Medicine
NPI 1417444589
225 MEMORIAL DR
Berlin, WI 54923
(920) 361-5770
✔ PECOS✔ Accepts Medicare18 mi
Emergency Medicine
NPI 1073506192
225 MEMORIAL DR
Berlin, WI 54923
(920) 361-5525
✔ PECOS18 mi
Emergency Medicine
NPI 1336315324
800 RIVERSIDE DR
Waupaca, WI 54981
(715) 258-1000
✔ PECOS✔ Accepts Medicare21 mi
Emergency Medicine
NPI 1255326070
800 RIVERSIDE DR
Waupaca, WI 54981
(715) 258-1000
✔ PECOS✔ Accepts Medicare21 mi
Emergency Medicine
NPI 1578091500
800 RIVERSIDE DR
Waupaca, WI 54981
(715) 258-1041
✔ PECOS✔ Accepts Medicare21 mi
Emergency Medicine
NPI 1457844102
800 RIVERSIDE DR
Waupaca, WI 54981
(715) 258-1000
✔ PECOS✔ Accepts Medicare21 mi
Emergency Medicine
NPI 1992887848
800 RIVERSIDE DR
Waupaca, WI 54981
(715) 258-1000
✔ PECOS✔ Accepts Medicare21 mi
Emergency Medicine
NPI 1447245816
800 RIVERSIDE DR
Waupaca, WI 54981
(715) 258-1041
✔ PECOS21 mi
Emergency Medicine
NPI 1316279433
800 RIVERSIDE DR
Waupaca, WI 54981
(715) 258-1000
✔ PECOS✔ Accepts Medicare21 mi
Emergency Medicine
NPI 1124058599
800 RIVERSIDE DR
Waupaca, WI 54981
(715) 258-1000
✔ PECOS✔ Accepts Medicare21 mi
Emergency Medicine
NPI 1831395888
800 RIVERSIDE DR
Waupaca, WI 54981
(715) 258-1041
✔ PECOS21 mi
Family Practice
NPI 1023057320
1080 W FOND DU LAC ST. CHN MEDICAL CENTER - RIPON
Ripon, WI 54971
(920) 748-7000
✔ PECOS✔ Accepts Medicare26 mi
Internal Medicine
NPI 1407167323
855 N WESTHAVEN DR
Oshkosh, WI 54904
(920) 303-8700
✔ PECOS✔ Accepts Medicare34 mi
See all 55 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 Thedacare Medical Center - Berlin, Inc.'s NPI number?

The NPI number for Thedacare Medical Center - Berlin, Inc. is 1992159289. It was assigned to this organization in the NPPES registry on April 22, 2016. The provider was formerly known as Community Health Network, Inc. And Berlin Memorial Hospital.

Where is Thedacare Medical Center - Berlin, Inc. located?

Thedacare Medical Center - Berlin, Inc. is located at N2930 State Road 22, Wautoma, WI 54982. The listed phone number is (920) 361-1313.

What is Thedacare Medical Center - Berlin, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Thedacare Medical Center - Berlin, Inc. enrolled in Medicare?

Yes. Thedacare Medical Center - Berlin, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thedacare Medical Center - Berlin, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 55 clinicians in 7 Medicare specialties reassign their Medicare billing to Thedacare Medical Center - Berlin, 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 Emergency Medicine (43), Family Practice (5) and Hospitalist (2). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Thedacare Medical Center - Berlin, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and Quartz and 1 other insurer list Thedacare Medical Center - Berlin, 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 Thedacare Medical Center - Berlin, Inc. was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.