Agnesian Healthcare Inc
NPI 1083676217 · Durable Medical Equipment & Medical Supplies · Fond Du Lac, WI
Enrolled with Medicare as Dme Supplier - Multi-Specialty - Physician · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Agnesian Healthcare Inc is a Durable Medical Equipment & Medical Supplies organization in Fond Du Lac, WI (NPI 1083676217).
Provider details
- NPI number
- 1083676217
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Amy Grinnell, Vp-Finance, Cfo(608) 260-3586
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ssm Health Fond Du Lac Regional Clinic
Registry dates
- Enumerated
- 2006-04-04
- Last updated
- 2024-06-05
- Certified
- 2024-06-05
Frequently asked questions
- What is Agnesian Healthcare Inc's NPI number?
- Agnesian Healthcare Inc's National Provider Identifier (NPI) is 1083676217, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Agnesian Healthcare Inc?
- Agnesian Healthcare Inc is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Agnesian Healthcare Inc located?
- Agnesian Healthcare Inc's practice location on file with NPPES is 421 Camelot Dr, Fond Du Lac, WI 54935-8335.
- What is Agnesian Healthcare Inc's phone number?
- The practice phone number listed in the NPPES registry for Agnesian Healthcare Inc is (920) 926-8332.
- Does Agnesian Healthcare Inc accept Medicare?
- Agnesian Healthcare Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Agnesian Healthcare Inc?
- The authorized official listed on Agnesian Healthcare Inc's NPPES record is Amy Grinnell, Vp-Finance, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Agnesian Healthcare Inc's NPI active?
- Yes — Agnesian Healthcare Inc's NPI (1083676217) is active in the NPPES registry as of the last update on 2024-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.