Agnesian Healthcare Enterprises LLC
NPI 1174145031 · Long Term Care Pharmacy · Waupun, WI
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Agnesian Healthcare Enterprises LLC is a Long Term Care Pharmacy organization in Waupun, WI (NPI 1174145031).
Provider details
- NPI number
- 1174145031
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kimberly Spencer, System Vp Pharmacy Services(920) 926-6011
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- Agnesian Pharmacy Waupun
- Doing business as
- Agnesian Pharmacy Waupun
Registry dates
- Enumerated
- 2020-05-14
- Last updated
- 2023-06-07
- Certified
- 2023-06-07
Frequently asked questions
- What is Agnesian Healthcare Enterprises LLC's NPI number?
- Agnesian Healthcare Enterprises LLC's National Provider Identifier (NPI) is 1174145031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Agnesian Healthcare Enterprises LLC?
- Agnesian Healthcare Enterprises LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Agnesian Healthcare Enterprises LLC located?
- Agnesian Healthcare Enterprises LLC's practice location on file with NPPES is 904 W Main St, Waupun, WI 53963-1201.
- What is Agnesian Healthcare Enterprises LLC's phone number?
- The practice phone number listed in the NPPES registry for Agnesian Healthcare Enterprises LLC is (920) 324-8703.
- Does Agnesian Healthcare Enterprises LLC accept Medicare?
- Agnesian Healthcare Enterprises LLC 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 Enterprises LLC?
- The authorized official listed on Agnesian Healthcare Enterprises LLC's NPPES record is Kimberly Spencer, System Vp Pharmacy Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Agnesian Healthcare Enterprises LLC's NPI active?
- Yes — Agnesian Healthcare Enterprises LLC's NPI (1174145031) is active in the NPPES registry as of the last update on 2023-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.