Waupun Memorial Hospital
NPI 1619955838 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fond Du Lac, WI
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Waupun Memorial Hospital is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Fond Du Lac, WI (NPI 1619955838).
Provider details
- NPI number
- 1619955838
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Steven Little, Svp & Cfo(920) 926-5402
Specialties & taxonomies
Ambulatory Health Care Facilities
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
- Fond Du Lac Dialysis Center
- Doing business as
- Ssm Health Dialysis Center
Registry dates
- Enumerated
- 2006-01-06
- Last updated
- 2022-03-12
- Certified
- 2022-03-12
Frequently asked questions
- What is Waupun Memorial Hospital's NPI number?
- Waupun Memorial Hospital's National Provider Identifier (NPI) is 1619955838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waupun Memorial Hospital?
- Waupun Memorial Hospital is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Waupun Memorial Hospital located?
- Waupun Memorial Hospital's practice location on file with NPPES is 101 S Pioneer Rd, Fond Du Lac, WI 54935-3871.
- What is Waupun Memorial Hospital's phone number?
- The practice phone number listed in the NPPES registry for Waupun Memorial Hospital is (920) 923-2333.
- Does Waupun Memorial Hospital accept Medicare?
- Waupun Memorial Hospital 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 Waupun Memorial Hospital?
- The authorized official listed on Waupun Memorial Hospital's NPPES record is Steven Little, Svp & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waupun Memorial Hospital's NPI active?
- Yes — Waupun Memorial Hospital's NPI (1619955838) is active in the NPPES registry as of the last update on 2022-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.