| St. Nicholas Hospital | |
|
3100 Superior Ave Sheboygan WI 53081-1994 | |
| (920) 459-5192 | |
| Not Available |
| Full Name | St. Nicholas Hospital |
|---|---|
| Speciality | Internal Medicine |
| Location | 3100 Superior Ave, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Travis Pitzen (MARKET DIRECTOR-FINANCE OPERATIONS) |
| Authorized Official Contact | 9204313047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Nicholas Hospital 3100 Superior Ave Sheboygan WI 53081-1994 Ph: (920) 459-5192 | St. Nicholas Hospital 3100 Superior Ave Sheboygan WI 53081-1994 Ph: (920) 459-5192 |
| NPI Number | 1447737762 |
|---|---|
| Provider Enumeration Date | 07/20/2018 |
| Last Update Date | 02/12/2026 |
| Certification Date | 02/12/2026 |
| Medicare PECOS PAC ID | 8325931652 |
|---|---|
| Medicare Enrollment ID | O20190321002397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447737762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 37 (Wisconsin) | Primary |
| Provider Name | Jeanne M Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326062118 PECOS PAC ID: 4880616903 Enrollment ID: I20060103000512 |
| Provider Name | Ravindra Hanumaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740237775 PECOS PAC ID: 9537183355 Enrollment ID: I20060119000778 |
| Provider Name | William Y Ansa Otu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346564168 PECOS PAC ID: 2365635208 Enrollment ID: I20101022001131 |
| Provider Name | David R Beck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326169822 PECOS PAC ID: 6406032457 Enrollment ID: I20110509000855 |
| Provider Name | Sarah Lynn Wassink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255614830 PECOS PAC ID: 0941472104 Enrollment ID: I20111012000092 |
| Provider Name | Brittany R Burg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154780922 PECOS PAC ID: 6103123674 Enrollment ID: I20160328002153 |
| Provider Name | Ameer Alwafai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255644779 PECOS PAC ID: 6901190362 Enrollment ID: I20161109000950 |
| Provider Name | Varoon Rathan Thavapalan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568740546 PECOS PAC ID: 6709000417 Enrollment ID: I20171002001834 |
| Provider Name | Kristin M Gardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366933608 PECOS PAC ID: 3779832902 Enrollment ID: I20180822000865 |
| Provider Name | Justin C Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285891846 PECOS PAC ID: 9638404353 Enrollment ID: I20190717000993 |
| Provider Name | Stephanie L Fries |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154681377 PECOS PAC ID: 0244544559 Enrollment ID: I20190805000572 |
| Provider Name | Amy Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962052118 PECOS PAC ID: 2365874963 Enrollment ID: I20191120002213 |
| Provider Name | Adeel Kamal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013469246 PECOS PAC ID: 6507147287 Enrollment ID: I20201117002387 |
| Provider Name | Tariq Jawaid Alam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144419144 PECOS PAC ID: 3870746399 Enrollment ID: I20210303003067 |
| Provider Name | Yuriy Zeylikman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003255357 PECOS PAC ID: 8921233875 Enrollment ID: I20210311001519 |
| Provider Name | Angelica T Hon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144892464 PECOS PAC ID: 5799189742 Enrollment ID: I20210812001983 |
| Provider Name | Alan Berger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104861350 PECOS PAC ID: 6709887656 Enrollment ID: I20220321001036 |
| Provider Name | Yasir Yafai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205395381 PECOS PAC ID: 8224417357 Enrollment ID: I20220621002161 |
| Provider Name | Sally Lynn Haen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093451155 PECOS PAC ID: 2769864750 Enrollment ID: I20220808002719 |
| Provider Name | Zachary J Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568182889 PECOS PAC ID: 5890171425 Enrollment ID: I20221004003142 |
| Provider Name | Halley M Straw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780317321 PECOS PAC ID: 8224408588 Enrollment ID: I20221230001667 |
| Provider Name | Ahmed Otokiti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760867204 PECOS PAC ID: 9537410824 Enrollment ID: I20230316001775 |
| Provider Name | Joshua Denk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174147987 PECOS PAC ID: 2466876040 Enrollment ID: I20230627002735 |
| Provider Name | Irene Nicole Presnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871915298 PECOS PAC ID: 5193955151 Enrollment ID: I20231111000598 |
| Provider Name | Melissa Elnora Bader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508692724 PECOS PAC ID: 7315472594 Enrollment ID: I20241125002594 |
| Provider Name | Hongjing Cao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225590185 PECOS PAC ID: 8426382664 Enrollment ID: I20250806000900 |
| Provider Name | Emily J Lefeber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093698631 PECOS PAC ID: 0749782985 Enrollment ID: I20250905004176 |
| Provider Name | Victor G Stiebel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164423364 PECOS PAC ID: 7719889278 Enrollment ID: I20250911001348 |
| Provider Name | Osama Nusrat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720433220 PECOS PAC ID: 5294168191 Enrollment ID: I20250918003973 |
| Provider Name | Snehdeep Hanspal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245895283 PECOS PAC ID: 2567797202 Enrollment ID: I20251124003460 |
| Provider Name | Gaurav Thakur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184078248 PECOS PAC ID: 8426328667 Enrollment ID: I20260113003121 |
| Provider Name | Gul Madison |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194844001 PECOS PAC ID: 6103094255 Enrollment ID: I20260305002433 |
Quad/med, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Pennsylvania Ave, Sheboygan, WI 53081 Phone: 414-566-8400 |
Marsho Family Medical Group, SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1703 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-457-4438 Fax: 920-451-3214 |
Lakeshore Community Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1721 Saemann Avenue, Sheboygan, WI 53081 Phone: 920-783-6633 Fax: 920-783-6392 |
Aurora Sheboygan Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 |
Lakeshore Community Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 S. 8th Street, Sheboygan, WI 53081 Phone: 920-783-6633 Fax: 920-783-6392 |
Aurora Health Care Central, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5000 |