St Gianna Molla Clinic, Inc
NPI 1104426477 · Multi-Specialty Clinic/Center · De Pere, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Gianna Molla Clinic, Inc is a Multi-Specialty Clinic/Center organization in De Pere, WI (NPI 1104426477).
Provider details
- NPI number
- 1104426477
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robin Goldsmith, President/Chief Medical Officer(920) 716-1451
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Registry dates
- Enumerated
- 2020-10-27
- Last updated
- 2023-04-05
- Certified
- 2023-04-05
Frequently asked questions
- What is St Gianna Molla Clinic, Inc's NPI number?
- St Gianna Molla Clinic, Inc's National Provider Identifier (NPI) is 1104426477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Gianna Molla Clinic, Inc?
- St Gianna Molla Clinic, Inc is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is St Gianna Molla Clinic, Inc located?
- St Gianna Molla Clinic, Inc's practice location on file with NPPES is 1716 Lawrence Dr Ste 100, De Pere, WI 54115-9108.
- What is St Gianna Molla Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for St Gianna Molla Clinic, Inc is (920) 605-3115.
- Does St Gianna Molla Clinic, Inc accept Medicare?
- St Gianna Molla Clinic, 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 St Gianna Molla Clinic, Inc?
- The authorized official listed on St Gianna Molla Clinic, Inc's NPPES record is Robin Goldsmith, President/Chief Medical Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Gianna Molla Clinic, Inc's NPI active?
- Yes — St Gianna Molla Clinic, Inc's NPI (1104426477) is active in the NPPES registry as of the last update on 2023-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.