Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD39522539

6

1861507600

ASHLAND, WI 548061815 BEASER AVEFMC CHEQUAMEGON BAY

ASHLAND

KEMP, NICHELLE(715)682-4389(715)682-4333

09/01/2000

DECEMBER

ESRD28523515

6

1871543355

BARRON, WI 548121222 WOODLAND AVEMAYO CLINIC DIALYSIS BARRON

BARRON

NESBIT, ASHLEY(715)537-9275(715)537-1345

02/12/1998

DECEMBER

ESRD24522320

9

1154415024

RICE LAKE, WI 548681700 W STOUT STMARSHFIELD MEDICAL CENTER RICE LAKE DIALYSIS

BARRON

STIPP, LYNETTE(715)236-6522(715)236-6159

03/01/1978

SEPTEMBER

ESRD43522501

28

1942264759

GREEN BAY, WI 543011910 RIVERSIDE DRFOX RIVER DIALYSIS

BROWN

PORFILIO, DIANE(920)437-1718(920)436-4910

10/02/1985

DECEMBER

ESRD97522552

10

1144590084

GREEN BAY, WI 543021751 DECKNER AVEGREEN BAY DIALYSIS

BROWN

HOLZER, KATHLEEN(920)465-1311(920)465-0430

01/21/2003

DECEMBER

ESRD58522312

21

1629051990

GREEN BAY, WI 543011920 LIBAL ST SUITE AST VINCENT HSPTL RENAL DIALYSIS CTR

BROWN

LE PINE, PENNY(920)448-7091(920)433-8448

09/01/1977

JUNE

1*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD103522558

20

1134184971

GREEN BAY, WI 54303120 SIEGLER STTITLETOWN DIALYSIS

BROWN

SCHMALZ, ALICIA(920)327-2150(920)327-2120

08/14/2003

DECEMBER

ESRD159522600

8

1417354218

SIREN, WI 5487224670 STATE ROAD 70 SUITE 100SIREN DIALYSIS

BURNETT

SEGARRA, CASEY(715)349-4224(715)349-4220

08/21/2015

DECEMBER

ESRD160522601

12

1114320660

CHILTON, WI 53014425 MB LANECHILTON DIALYSIS

CALUMET

HOLZER, KATHLEEN(920)849-3432(920)849-3441

09/30/2015

DECEMBER

ESRD112523525

8

1164467155

CHIPPEWA FALLS, WI 547292661 COUNTY HIGHWAY ISACRED HEART HSPTL RENAL DLYS CTR ST JOSEPH

CHIPPEWA

WRIGHT, JAMIE(715)717-7748(715)717-7740

07/01/2004

JUNE

ESRD155522596

12

1508115395

LAKE HALLIE, WI 547293636 E MELBY STLAKE HALLIE DIALYSIS

CHIPPEWA

BROMMERICH, LAUREN(715)833-8534(715)833-8512

09/18/2013

DECEMBER

ESRD113522339

6

1275598948

PORTAGE, WI 539012817 NEW PINERY RDASPIRUS DIVINE SAVIOR HOSPITAL

COLUMBIA

BAUMAN, JAN(608)745-5061(608)745-5160

08/12/2004

JUNE

2*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD165522608

12

1639535263

WISCONSIN DELLS, WI 5396514 COUNTY ROAD PLAKE DELTON DIALYSIS

COLUMBIA

JOHNSON, F. DEREK(608)253-3948(608)253-3597

09/19/2016

DECEMBER

ESRD163523534

7

1316324395

WISCONSIN DELLS, WI 5396528 COMMERCE STMILE BLUFF WISCONSIN DELLS DIALYSIS CENTER

COLUMBIA

TOTZKE, BRENDA(608)254-5925(608)847-2870

10/18/2016

SEPTEMBER

ESRD22523500

12

1376886465

PRAIRIE DU CHIEN, WI 53821610 E TAYLOR STGUNDERSEN LUTHERAN RENAL DIALYSIS PDC

CRAWFORD

PFAFF, BRIDGET(608)326-0460(608)326-3325

09/11/1986

DECEMBER

ESRD102522555

30

1881702603

FITCHBURG, WI 537133034 FISH HATCHERY RDFRESENIUS KIDNEY CARE FITCHBURG

DANE

AMES, REBECCA(608)270-5602(608)270-5600

07/01/2003

DECEMBER

ESRD72522602

35

1013301779

MADISON, WI 537132840 INDEX ROADFMC MADISON CAPITOL

DANE

BOONE, TONYA(608)229-7395(608)229-7222

07/01/2015

DECEMBER

ESRD104522559

6

1114035912

MADISON, WI 537184600 AMERICAN PKWY SUITE 102FRESENIUS KIDNEY CARE AMERICAN PARKWAY

DANE

AMES, REBECCA(608)243-3005(608)243-3003

07/13/2003

DECEMBER

3*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD170522612

17

1023527058

SUN PRAIRIE, WI 535902831 O KEEFFE AVEFRESENIUS KIDNEY CARE SUN PRAIRIE

DANE

BOONE, TONYA(608)274-6376(608)274-6358

09/06/2018

DECEMBER

ESRD164522607

12

1457747453

SUN PRAIRIE, WI 53590719 BUNNY TRAILSUN PRAIRIE DIALYSIS

DANE

VAN HORN, JESSICA(608)825-2886(608)825-6556

08/11/2016

DECEMBER

ESRD87523531

9

1881672004

BEAVER DAM, WI 53916110 MONROE STBEAVER DAM DIALYSIS CTR

DODGE

POSTHUMA, DIANE(920)887-3532(920)887-3376

07/01/2011

DECEMBER

ESRD66522301

15

1760460877

WAUPUN, WI 53963620 W BROWN STWAUPUN REGIONAL DIALYSIS CENTER

DODGE

POSTHUMA, DIANE(920)324-9803(920)324-6531

09/01/1977

DECEMBER

ESRD101522556

6

1104186047

STURGEON BAY, WI 54235108 S 10TH AVESTURGEON BAY DIALYSIS

DOOR

BURR, ANDREW(920)746-7974(920)746-7955

07/10/2003

DECEMBER

ESRD38522538

8

1306951140

SUPERIOR, WI 548803500 TOWER AVEFMC DIALYSIS SERVICES SUPERIOR

DOUGLAS

LITTLE, SAMANTHA(715)395-2195(715)395-2199

09/01/2000

DECEMBER

4*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD29522331

6

1427008986

MENOMONIE, WI 54751407 21ST SEMAYO CLINIC DIALYSIS MENOMONIE

DUNN

NESBIT, ASHLEY(715)233-7647(715)232-7272

10/06/1999

DECEMBER

ESRD25522311

19

1447200910

EAU CLAIRE, WI 547031221 WHIPPLE STMAYO CLINIC DIALYSIS EAU CLAIRE

EAU CLAIRE

NESBIT, ASHLEY(715)838-3795(715)838-3171

09/01/1977

DECEMBER

ESRD99523522

24

1972552909

EAU CLAIRE, WI 547013845 LONDON RDMAYO CLINIC DIALYSIS LONDON RD

EAU CLAIRE

TWEED, DAWN(715)838-3883(715)838-3872

06/24/2003

DECEMBER

ESRD45522327

11

1851335293

EAU CLAIRE, WI 54701900 W CLAIREMONT AVESACRED HEART HOSPITAL DIALYSIS

EAU CLAIRE

WRIGHT, JAMIE(715)839-3913(715)717-6555

07/09/1998

JUNE

ESRD13523506

12

1619955838

FOND DU LAC, WI 54935305 CAMELOT DRIVEFOND DU LAC DIALYSIS CENTER

FOND DU LAC

POSTHUMA, DIANE(920)923-2331(920)923-2333

05/19/1993

DECEMBER

ESRD2522526

9

1194095166

FOND DU LAC, WI 54937210 WISCONSIN AMERICAN DRIVEFOND DU LAC DIALYSIS

FOND DU LAC

DASSOW, AMBER(920)907-7122(920)907-0689

06/30/1998

DECEMBER

5*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD89522547

5

1598796682

RIPON, WI 5497137 STONEY RIDGE RD SUITE 100FMC RIPON SOUTH

FOND DU LAC

WEIGEL, MANDY(920)748-8657(920)748-8651

04/26/2002

DECEMBER

ESRD73522534

12

1669426177

PLATTEVILLE, WI 538181250 EAST HIGHWAY 151TRI STATE DIALYSIS PLATTEVILLE

GRANT

COCKRELL, ROBIN(608)348-7950(608)348-5064

08/09/2000

DECEMBER

ESRD161522605

12

1235513912

BERLIN, WI 54923432 OAK STGREEN LAKE COUNTY DIALYSIS

GREEN LAKE

HAFEMANN, JANET(920)361-1435(920)361-1177

02/25/2016

DECEMBER

ESRD128522572

11

1003858713

MONROE, WI 53566120 7TH STMONROE CLINIC DIALYSIS

GREEN

GRIFFIN, ANASTASIA(608)324-1974(608)581-3055

01/25/2007

DECEMBER

ESRD134522604

12

1043603053

DODGEVILLE, WI 53533800 COMPASSION WAYFMC DODGEVILLE

IOWA

PIER, CHRISTY(608)930-7177(608)319-0373

07/01/2015

DECEMBER

ESRD74522533

15

1245316892

FORT ATKINSON, WI 53538525 HANDEYSIDE LANEFORT ATKINSON DIALYSIS CTR

JEFFERSON

WEBER, MARK(920)563-8643(920)563-8665

03/10/2000

DECEMBER

6*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD64522525

11

1922184563

WATERTOWN, WI 530941905 MARKET WAYWATERTOWN DIALYSIS CENTER

JEFFERSON

WEBER, MARK(920)206-0688(920)206-0666

12/04/1997

DECEMBER

ESRD37522328

9

1851438022

MAUSTON, WI 539481040 DIVISION STMILE BLUFF DIALYSIS CENTER

JUNEAU

TOTZKE, BRENDA(608)847-6017(608)847-1065

03/04/1999

DECEMBER

ESRD123522568

2

1720283302

KENOSHA, WI 531426125 GREEN BAY RD SUITE 100KIDNEY REPLACEMENT THERAPIES

KENOSHA

PULLA, GANESH(262)564-8637(262)564-8636

05/01/2006

DECEMBER

ESRD46522335

13

1003831132

PLEASANT PRAIRIE, WI 531589555 76TH STFROEDTERT SOUTH ESRD

KENOSHA

KURUVILLA, SHAILA(262)577-8114(262)577-8791

10/01/2000

JUNE

ESRD26522313

17

42051000

LA CROSSE, WI 546011910 SOUTH AVE, HERITAGE BUILDING 2 WESTGUNDERSEN LUTHERAN RENAL DIALYSIS LA CROSSE

LA CROSSE

PFAFF, BRIDGET(608)775-5451(608)775-3176

09/01/1977

DECEMBER

ESRD121523528

20

1215270327

ONALASKA, WI 546503075 S KINNEY COULEE RDGUNDERSEN LUTHERAN RENAL DIALYSIS ONALASKA

LA CROSSE

PFAFF, BRIDGET(608)775-1376(608)775-1360

10/24/2005

DECEMBER

7*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD76523519

7

1073589263

ONALASKA, WI 54650191 THEATER RDMAYO CLINIC DIALYSIS ONALASKA

LA CROSSE

MYAYA, SUSAN(608)392-5797(608)392-5011

04/07/1999

DECEMBER

ESRD125523529

9

1295870731

ANTIGO, WI 54409501 AURORA STLANGLADE HOSPITAL DIALYSIS CENTER

LANGLADE

ALMEIDA, JESUS(715)623-9454(715)623-9777

07/14/2006

JUNE

ESRD139522585

6

1821387176

MERRILL, WI 54452601 S CENTER AVEPRAIRIE RIVER DIALYSIS

LINCOLN

MAGEE, BONNIE(715)539-5195(715)539-0613

06/01/2011

DECEMBER

ESRD19522594

12

1932499845

MANITOWOC, WI 542213711 DEWEY STFMC MANITOWOC

MANITOWOC

SCHROEDER, MINDY(920)686-1251(920)686-1120

08/01/2011

DECEMBER

ESRD114522562

9

1134499080

MANITOWOC, WI 542203303 DEWEY STMANITOWOC DIALYSIS

MANITOWOC

YLITALO, ERICCA(920)686-5336(920)652-0593

08/31/2004

DECEMBER

ESRD115523527

12

1629179908

WAUSAU, WI 544013000 WESTHILL DR SUITE 106ASPIRUS WAUSAU HOSPITAL KIDNEY CARE

MARATHON

MARTHENZE, AMY(715)847-2663(715)847-0019

10/20/2004

JUNE

8*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD67522593

26

119404480

WAUSAU, WI 544012600 STEWART AVE SUITE 144WAUSAU DIALYSIS

MARATHON

CHOSZCZYK, JOLENE(715)845-6353(715)841-1708

06/01/2011

DECEMBER

ESRD96522551

16

1548530488

MARINETTE, WI 541432706 CAHILL ROAD SUITE AMARINETTE DIALYSIS

MARINETTE

SCHIMMING, DEREK(715)732-2269(715)732-2372

02/07/2003

DECEMBER

ESRD98522554

28

1235457508

GLENDALE, WI 532095650 N GREEN BAY AVE SUITE 150BAY SHORE DIALYSIS

MILWAUKEE

SALEMI, EMILY(414)351-1244(414)351-1290

05/16/2003

DECEMBER

ESRD84522542

17

1497091284

GLENDALE, WI 53212400 W ESTABROOK BLVDFMC MIDWEST GLENDALE

MILWAUKEE

PERRY, TANIA(414)332-3487(414)332-9960

05/07/2001

DECEMBER

ESRD175522618

GREENFIELD, WI 532205125 W MORGAN AVEFRESENIUS KIDNEY CARE GREENFIELD

MILWAUKEE

WILKERSON, IRIS (414)290-8236

07/10/2020

DECEMBER

ESRD16522507

21

1720042559

GREENFIELD, WI 532214120 W LOOMIS RDLOOMIS ROAD DIALYSIS

MILWAUKEE

PAPILLA, NOELLE(414)761-4926(414)761-4920

03/22/1989

DECEMBER

9*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD85522543

22

1073831343

GREENFIELD, WI 532207740 W LAYTON AVESOUTH RIDGE DIALYSIS

MILWAUKEE

SCUREK, JULIE(414)281-1722(414)281-1313

10/19/2001

DECEMBER

ESRD171522613

20

1851812861

MILWAUKEE, WI 532239127 N 76TH STBROWN DEER DIALYSIS

MILWAUKEE

MCKENZIE, KELLEY(414)365-3519(414)354-4319

10/03/2018

DECEMBER

ESRD156522598

16

1659714558

MILWAUKEE, WI 532164176 N 56TH STCAPITOL COURT DIALYSIS

MILWAUKEE

NOE, DAVID(414)445-3794(414)445-2119

04/21/2014

DECEMBER

ESRD10522319

5

1952408353

MILWAUKEE, WI 532268915 W CONNELL COURTCHILDRENS HOSPITAL OF WI DIALYSIS

MILWAUKEE

NELIS, MARY(414)266-3421(414)266-2840

01/29/1986

DECEMBER

ESRD173522616

13

1992212286

MILWAUKEE, WI 53212733 E CAPITOL DRESTABROOK PARK DIALYSIS

MILWAUKEE

MCKENZIE, KELLEY(414)963-1231(414)906-0144

09/10/2019

DECEMBER

ESRD129522573

16

1023354867

MILWAUKEE, WI 532153120 SOUTH 27TH STFMC MIDWEST 27TH ST BRANCH

MILWAUKEE

RHONE, KENYATTA(414)672-1016(414)643-1714

03/15/2007

DECEMBER

10*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD127522571

19

1043556822

MILWAUKEE, WI 532227793 W APPLETON AVEFMC MIDWEST APPLETON AVENUE

MILWAUKEE

JULIUS, DIANE(414)464-1507(414)464-0820

12/13/2006

DECEMBER

ESRD34522512

17

1457697237

MILWAUKEE, WI 532164021 N 52ND STFMC MIDWEST CAPITOL

MILWAUKEE

WILDER, SHENESE(414)873-6479(414)873-3600

10/19/1992

DECEMBER

ESRD36522524

19

1225374010

MILWAUKEE, WI 532237701 W CLINTON AVEFMC MIDWEST GOOD HOPE

MILWAUKEE

WILKERSON, IRIS(414)760-3068(414)760-3090

10/22/1997

DECEMBER

ESRD35522506

18

1366788143

MILWAUKEE, WI 532212600 W HOWARD AVEFMC MIDWEST SOUTH

MILWAUKEE

MEIER, JAMIE(414)672-0046(414)281-2704

02/09/1989

DECEMBER

ESRD78522531

16

1578679403

MILWAUKEE, WI 53212377 W RIVER WOODS PARKWAY SUITE 111FRESENIUS KIDNEY CARE SHOREWOOD

MILWAUKEE

WILKERSON, IRIS(414)967-9332(414)967-9321

04/01/1999

DECEMBER

ESRD169522614

18

1093234569

MILWAUKEE, WI 532022615 W SILVER SPRING DRFRESENIUS KIDNEY CARE SILVER SPRING

MILWAUKEE

WILDER, SHENESE(414)461-2566(414)461-2421

11/08/2018

DECEMBER

11*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD12522510

26

1588806830

MILWAUKEE, WI 53203161 W WISCONSIN ST SUITE 1100FRESENIUS KIDNEY CARE WRCG MILWAUKEE

MILWAUKEE

LEONARD, ANGELA(414)265-5701(414)224-7666

05/19/1992

DECEMBER

ESRD131522577

24

1932427119

MILWAUKEE, WI 532122211 N HUMBOLDT BLVDHUMBOLDT RIDGE DIALYSIS

MILWAUKEE

JAMIESON, AARON(414)336-7210(414)336-7200

08/28/2008

DECEMBER

ESRD120522565

16

12756444171

MILWAUKEE, WI 532094775 N GREEN BAY AVEMILWAUKEE DIALYSIS CENTER

MILWAUKEE

HEBEIN, RANDAL(414)265-1701(414)265-1700

12/05/2005

DECEMBER

ESRD14522509

16

1174588933

MILWAUKEE, WI 53202117 N JEFFERSON STRIVER CENTER DIALYSIS

MILWAUKEE

SIKORSKI, MELANNIE(414)225-3744(414)225-3740

01/01/1992

DECEMBER

ESRD92522548

26

1598083768

MILWAUKEE, WI 5322510130 W APPLETON AVE SUITE 500WEST APPLETON DIALYSIS

MILWAUKEE

ZIRZOW, JENNIFER(414)393-0910(414)393-0600

07/22/2002

DECEMBER

ESRD18522502

24

1144285917

MILWAUKEE, WI 532083801 W WISCONSIN AVEWISCONSIN AVENUE DIALYSIS

MILWAUKEE

BRADSHAW, ALICE(414)937-8248(414)937-8240

12/09/1986

DECEMBER

12*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD33522528

19

1275879058

OAK CREEK, WI 531549420 S 22ND STFMC MIDWEST RYAN ROAD

MILWAUKEE

GAJEWSKI, KRISTIN(414)761-8953(414)761-8080

01/25/1999

DECEMBER

ESRD136522578

12

1508055997

OAK CREEK, WI 531548201 S HOWELL AVE SUITE 600OAK CREEK DIALYSIS

MILWAUKEE

SIKORSKI, MELANNIE(414)762-4012(414)762-3784

09/16/2008

DECEMBER

ESRD111522561

10

1134465917

SAINT FRANCIS, WI 532352000 E LAYTON AVE SUITE 200FMC MIDWEST LAKESHORE

MILWAUKEE

WILKERSON, IRIS(414)774-4399(414)481-7179

06/17/2004

DECEMBER

ESRD122522566

20

1306164587

WAUWATOSA, WI 53226601 NORTH 99TH ST SUITE 100BLUEMOUND DIALYSIS

MILWAUKEE

COUNTS, DAVID(414)755-6310(414)755-6300

01/10/2006

DECEMBER

ESRD81522536

6

1528386836

WAUWATOSA, WI 53226601 NORTH 99TH ST SUITE 300BLUEMOUND PD

MILWAUKEE

KRZYZANIAK, LEXANN(414)778-1631(414)778-1623

10/24/2000

DECEMBER

ESRD79522530

24

1669588596

WEST ALLIS, WI 5321411340 THEODORE TRECKER WAYWISCONSIN RENAL CARE CENTRE POINT

MILWAUKEE

RHONE, KENYATTA(414)774-8130(414)774-1244

04/01/1999

DECEMBER

13*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD27523505

6

1972846087

TOMAH, WI 54660505 GOPHER DR SUITE BGUNDERSEN LUTHERAN RENAL DIALYSIS TOMAH

MONROE

PFAFF, BRIDGET(608)374-0284(608)374-0280

02/16/1990

DECEMBER

ESRD158523533

6

1578967220

OCONTO FALLS, WI 54154853 S MAIN ST SUITE AST VINCENT DIALYSIS CENTER

OCONTO

LE PINE, PENNY(920)848-6352(920)848-6346

08/18/2016

JUNE

ESRD70522591

10

1518256858

RHINELANDER, WI 545011306 LINCOLN STRHINELANDER DIALYSIS

ONEIDA

NELSON, CHRISTINE (715)362-3718

06/01/2011

DECEMBER

ESRD20522586

12

1841589199

WOODRUFF, WI 54568311 ELM STNORTHERN STAR DIALYSIS

ONEIDA

NELSON, CHRISTINE(715)356-6392(715)356-0132

06/01/2011

DECEMBER

ESRD90522546

19

1568493732

APPLETON, WI 549112701 N ONEIDA ST SUITE EFMC APPLETON

OUTAGAMIE

BERGSTROM, BARBARA(920)997-8626(920)997-8600

02/27/2002

DECEMBER

ESRD95522550

12

1376658120

KAUKAUNA, WI 541302259 PROGRESS WAYFMC DIALYSIS SERVICES OF KAUKAUNA

OUTAGAMIE

RODGERS, BILLIE(920)759-4548(920)759-4540

09/23/2002

DECEMBER

14*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD15522529

10

1811951627

CEDARBURG, WI 53012N54 W6135 MILL STCEDARBURG DIALYSIS

OZAUKEE

MCKENZIE, KELLEY(262)376-9369(262)376-8011

02/18/1999

DECEMBER

ESRD154522595

1497033229

CEDARBURG, WI 53012N54 W6135 MILL ST SUITE 500MILL STREET HOME TRAINING

OZAUKEE

SCOTT, GAIL(262)377-2191(262)377-2158

09/03/2013

DECEMBER

ESRD135522575

12

1750554333

AMERY, WI 54001970 ELDEN AVEAMERY DIALYSIS

POLK

SEGARRA, CASEY(534)444-0006(534)444-0005

08/28/2008

DECEMBER

ESRD47522519

26

1790740561

ST CROIX FALLS, WI 54024744 LOUISIANA ST EASTST CROIX FALLS DIALYSIS CENTER

POLK

BERGLUND, ASHLEY(715)483-9639(715)483-1555

07/08/1993

DECEMBER

ESRD54522587

9

1346539624

PLOVER, WI 544671100 MERIDIAN DRIVESTEVENS POINT DIALYSIS

PORTAGE

EBEL, JUDITH (715)343-1266

06/01/2011

DECEMBER

ESRD83522540

17

1861738643

RACINE, WI 534065409 DURAND AVEFMC MIDWEST RACINE

RACINE

RODRIGUEZ, JOHN(262)598-8836(262)554-7481

02/26/2001

DECEMBER

15*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD51522583

20

1609166925

RACINE, WI 534053113 WASHINGTON AVEHARBOR VIEW DIALYSIS

RACINE

LUKE, DENISE(262)637-1441(262)632-0120

05/01/2011

DECEMBER

ESRD108522584

12

1447540760

RACINE, WI 534061139 WARWICK WAYWILLOW CREEK DIALYSIS

RACINE

GUTIERREZ, NEFTALI(262)884-2802(262)884-2730

05/01/2011

DECEMBER

ESRD5522324

9

1881770998

BELOIT, WI 535111969 W HART RDBELOIT HEALTH SYSTEM

ROCK

BRANCAMP, MINDY(608)364-5306(608)364-5531

12/07/1988

DECEMBER

ESRD166522611

13

1780136937

JANESVILLE, WI 535451407 CRESTON PARK DRFRESENIUS KIDNEY CARE JANESVILLE

ROCK

BOONE, TONYA (608)752-6362

03/28/2018

DECEMBER

ESRD21522503

12

1285698001

JANESVILLE, WI 535451305 WOODMAN RDJANESVILLE DIALYSIS

ROCK

VAN HORN, JESSICA(608)741-2369(608)741-4181

10/07/1987

DECEMBER

ESRD77522329

10

1164588679

JANESVILLE, WI 53548903 MINERAL POINT AVEMERCY HEALTH DIALYSIS

ROCK

RAMSEY, MARLENE(608)741-3816(608)741-3814

11/08/1999

JUNE

16*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD162522606

12

1487046652

HUDSON, WI 54016421 STAGELINE ROADHUDSON DIALYSIS

SAINT CROIX

VALVICK, ALICIA(715)381-8454(715)381-8240

04/08/2016

DECEMBER

ESRD71522603

6

1134512148

BARABOO, WI 539131600 JEFFERSON ST SUITE 200FMC BARABOO

SAUK

KOWALKE, KARLA(608)355-1870(608)355-1860

07/01/2015

DECEMBER

ESRD138522580

12

1740442078

HAYWARD, WI 5484310342 DYNO DRIVEFRESENIUS KIDNEY CARE HAYWARD

SAWYER

KEMP, NICHELLE(715)634-3232(715)634-3220

06/17/2009

DECEMBER

ESRD142522582

14

1093028979

SHAWANO, WI 541661509 S LINCOLN STFRESENIUS KIDNEY CARE SHAWANO

SHAWANO

MOEDE, LORI(715)524-8043(715)524-8038

03/30/2011

DECEMBER

ESRD44522511

15

1841255601

SHAWANO, WI 54166W7305 ELM AVESHAWANO LAKE DIALYSIS

SHAWANO

MAGEE, BONNIE(715)526-6010(715)526-4310

09/04/1992

DECEMBER

ESRD1522527

14

1124398052

SHEBOYGAN, WI 530811338 TAYLOR DRIVESHEBOYGAN DIALYSIS

SHEBOYGAN

YLITALO, ERICCA(920)459-1175(920)458-1724

07/23/1998

DECEMBER

17*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD57522323

9

1427009992

SHEBOYGAN, WI 530812925 SAEMANN AVEST NICHOLAS HOSPITAL DIALYSIS

SHEBOYGAN

LE PINE, PENNY(920)783-0766(920)459-4790

03/15/1982

JUNE

ESRD140522343

8

1558511295

MEDFORD, WI 54451111 SOUTH GIBSON STASPIRUS KIDNEY CARE MEDFORD

TAYLOR

ERL, HALEY(715)748-7524(715)748-7520

01/27/2010

JUNE

ESRD63523517

4

1003159195

VIROQUA, WI 54665407 S MAIN ST SUITE 300GUNDERSEN LUTHERAN RENAL DIALYSIS VIROQUA

VERNON

PFAFF, BRIDGET(608)637-4288(608)637-4376

09/18/1998

DECEMBER

ESRD82522537

16

1831469766

LAKE GENEVA, WI 53147650 N EDWARDS BLVDLAKE GENEVA DIALYSIS

WALWORTH

ZABEL, REBECCA(262)249-7146(262)248-2502

01/10/2001

DECEMBER

ESRD132522579

10

1831315845

GERMANTOWN, WI 53022W175 N11056 STONEWOOD DRMEQUON ROAD DIALYSIS

WASHINGTON

WOOD, JACQUELINE(262)251-3440(262)251-4047

10/15/2008

DECEMBER

ESRD168522609

13

1912447046

SLINGER, WI 53086631 LOUS WAYFRESENIUS KIDNEY CARE SLINGER

WASHINGTON

WILKERSON, IRIS(262)644-1188(262)644-1180

01/25/2018

DECEMBER

18*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD86522544

12

1689910465

WEST BEND, WI 530952050 CONTINENTAL DRFMC MIDWEST WEST BEND

WASHINGTON

WILKERSON, IRIS(262)306-2704(262)306-2700

11/30/2001

DECEMBER

ESRD75522532

12

1881659639

BROOKFIELD, WI 5304519395 W CAPITOL DR BLDG C SUITE 100BROOKFIELD DIALYSIS

WAUKESHA

SALEMI, EMILY(262)781-0305(262)781-0273

11/05/1999

DECEMBER

ESRD174522617

BROOKFIELD, WI 5300513905 W BURLEIGH RDCONCERTO RENAL SERVICES MILWAUKEE

WAUKESHA

MEYSTEL, SHIMON(847)233-1302(847)233-1202

06/02/2020

DECEMBER

ESRD9522513

9

1023194719

BROOKFIELD, WI 5304518740 W BLUEMOUND RDFOX BROOK DIALYSIS

WAUKESHA

SALEMI, EMILY(262)782-9984(262)782-9856

11/17/1992SOUTHEASTERN

DECEMBER

ESRD172522615

13

1841792603

BROOKFIELD, WI 5304517500 W CAPITOL DRFRESENIUS KIDNEY CARE BROOKFIELD

WAUKESHA

BECHERER, KELLY(262)373-1254(262)373-1244

12/14/2018

DECEMBER

ESRD153522597

1669650545

DELAFIELD, WI 530182301 SUN VALLEY DR SUITE 101LAKE COUNTRY DIALYSIS

WAUKESHA

VAN HORN, JESSICA (262)646-3080

09/27/2013

DECEMBER

19*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD31522523

15

1609952233

MENOMONEE FALLS, WI 53051N87 W17301 MAIN STMENOMONEE FALLS DIALYSIS

WAUKESHA

WOOD, JACQUELINE(262)253-9870(262)253-9768

07/22/1997

DECEMBER

ESRD40522521

10

1578649109

MUKWONAGO, WI 53149400 BAYVIEW RD SUITE FMUKWONAGO DIALYSIS CENTER

WAUKESHA

DOERFER, ROXANNE(262)363-1928(262)363-3561

05/17/1996

DECEMBER

ESRD41522517

15

1871679480

OCONOMOWOC, WI 530661253 CORPORATE CENTER DROCONOMOWOC DIALYSIS CTR

WAUKESHA

MISHUN, KELSEY(262)567-3821(262)560-0371

06/02/1993

DECEMBER

ESRD137522581

13

1770829558

WAUKESHA, WI 53188111 ANN STFMC MIDWEST WAUKESHA

WAUKESHA

HAAG, JENNIFER(262)542-6182(262)542-6179

08/17/2009

DECEMBER

ESRD69522535

9

1487730032

WAUKESHA, WI 531861260 SENTRY DRSPRING CITY DIALYSIS

WAUKESHA

DOERFER, ROXANNE(262)446-5199(262)446-5100

08/14/2000

DECEMBER

ESRD42522504

23

1942386610

WAUKESHA, WI 53188721 AMERICAN AVE SUITE 204WAUKESHA DIALYSIS CENTER

WAUKESHA

MISHUN, KELSEY(262)928-5483(262)549-0754

10/09/1987

DECEMBER

20*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD126522570

10

1730116443

WAUPACA, WI 54981102 GRAND SEASONS DR SUITE 7FMC WAUPACA

WAUPACA

WOGERNESE, JENNIFER(715)258-2686(715)258-2547

08/02/2006

DECEMBER

ESRD65522592

6

1588953871

WAUPACA, WI 54981930 FURMAN DRWAUPACA DIALYSIS

WAUPACA

EBEL, JUDITH(715)258-7368(715)258-0934

06/01/2011

DECEMBER

ESRD118522563

8

1750651600

WAUTOMA, WI 54982900 E DIVISION STWAUTOMA DIALYSIS

WAUSHARA

HAFEMANN, JANET(920)778-7692(920)787-1031

04/04/2005

DECEMBER

ESRD7522500

17

1093820854

NEENAH, WI 54956300 N COMMERCIAL ST SUITE 100FMC NEENAH

WINNEBAGO

KOECK, ERIN(920)725-0208(920)725-7861

09/01/1977

DECEMBER

ESRD88522545

11

1215968383

OSHKOSH, WI 549042700 W 9TH AVE SUITE 101AFRESENIUS MEDICAL CARE OSHKOSH

WINNEBAGO

SONNENBERG, BETH(920)223-4976(920)223-4990

12/14/2001

DECEMBER

ESRD107522560

10

1184994030

OSHKOSH, WI 54904855 N WESTHAVEN DROSHKOSH WEST DIALYSIS

WINNEBAGO

DASSOW, AMBER(920)456-7861(920)303-0650

04/21/2004

DECEMBER

21*Type is LTC or Hospital bt

Lic #Provider # DON

NameVendor #Type*

Fac#

PhoneFax

Beds

Department of Health ServicesDivision of Quality Assurance 03/02/2021

CountyAccreditedParticipation Date

AdministratorAddress

RegionSub Administrator

FY End

End Stage Renal Dialysis UnitsProvider Directory

for WisconsinListed in Order of County then City

ESRD50522588

20

1306135652

MARSHFIELD, WI 54449123 NORTHRIDGE STMARSHFIELD DIALYSIS

WOOD

DRAEGER, TABITHA(715)387-7755(715)384-3478

06/01/2011

DECEMBER

ESRD49522589

10

1790075091

WISCONSIN RAPIDS, WI 544941041B HILL STWISCONSIN RAPIDS DIALYSIS

WOOD

JOHNSON, F. DEREK(715)422-0555(715)422-0550

06/01/2011

DECEMBER

Count of providers: 128 0 0Count of Accredited: Count of Unaccredited:

22*Type is LTC or Hospital bt