Doctor profile · Federal record
Dr. Jeannine Fortin, MD
Family Medicine Physician · Seymour, WI
- NPI 1174556450
- MIPS 77.4 / 100 · 2023
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1100 Orchard Dr
Seymour, WI 541651600
(920) 833-5100
fax (920) 833-5100
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- September 11, 2012
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Wisconsin #46699
- Medicaid
- WI #34533800
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174556450. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$48
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Indivior Inc. | 1 | $34.09 | |
| Braeburn Inc. | 1 | $13.61 |
By nature of payment
Frequently asked questions
What is Dr. Jeannine Fortin's medical specialty?
Dr. Jeannine Fortin practices Family Medicine Physician in Seymour, WI.
Where does Dr. Jeannine Fortin practice?
Dr. Jeannine Fortin practices at 1100 Orchard Dr, Seymour, WI 541651600. Office phone: 9208335100.
What is Dr. Jeannine Fortin's NPI?
Dr. Jeannine Fortin's National Provider Identifier (NPI) is 1174556450, issued by NPPES.