Waupun Memorial Hospital
NPI 1881672004 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Beaver Dam, 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 Beaver Dam, WI (NPI 1881672004).
Provider details
- NPI number
- 1881672004
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Waupun Memorial Hospital
- Organization subpart
- Yes
- Authorized official
- Troy Walker, Director of Finance(608) 356-1423
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
- Ssm Health Dialysis Center
Registry dates
- Enumerated
- 2006-01-06
- Last updated
- 2022-04-20
- Certified
- 2022-04-20
Frequently asked questions
- What is Waupun Memorial Hospital's NPI number?
- Waupun Memorial Hospital's National Provider Identifier (NPI) is 1881672004, 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 110 Monroe St, Beaver Dam, WI 53916-2437.
- What is Waupun Memorial Hospital's phone number?
- The practice phone number listed in the NPPES registry for Waupun Memorial Hospital is (920) 887-3376.
- 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 Troy Walker, Director of Finance. 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 (1881672004) is active in the NPPES registry as of the last update on 2022-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.