Agnesian Healthcare Inc
NPI 1104891746 · Community/Retail Pharmacy · Fond Du Lac, WI
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Agnesian Healthcare Inc is a Community/Retail Pharmacy organization in Fond Du Lac, WI (NPI 1104891746).
Provider details
- NPI number
- 1104891746
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Amy Grinnell, Finance Vice President Wi Region(608) 260-3586
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
24 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 24 | $4 |
Typical Medicare-allowed amounts for these services range $4–$4 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ssm Health Pharmacy
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Frequently asked questions
- What is Agnesian Healthcare Inc's NPI number?
- Agnesian Healthcare Inc's National Provider Identifier (NPI) is 1104891746, 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 Community/Retail Pharmacy (Suppliers).
- Where is Agnesian Healthcare Inc located?
- Agnesian Healthcare Inc's practice location on file with NPPES is 145 N Main St, Fond Du Lac, WI 54935-3423.
- What is Agnesian Healthcare Inc's phone number?
- The practice phone number listed in the NPPES registry for Agnesian Healthcare Inc is (920) 926-4660.
- 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, Finance Vice President Wi Region. 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 (1104891746) is active in the NPPES registry as of the last update on 2025-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.