Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Jeannine Marie Fortin, MD

Individual provider Family Medicine Physician · NPI 1174556450

Dr. Jeannine Marie Fortin, MD is registered under Family Practice in Seymour, Wisconsin. Graduated from University of Manitoba, Faculty of Medicine in 1985, 41 years ago. Practices with Cleanslate Medical Group of Wisconsin SC, a 28-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
41
Trained at
University of Manitoba, Faculty of Medicine
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Orchard Dr
Seymour, WI 54165-1600 Not confirmed with CMS for 14 years — call before visiting
Phone: (920) 833-5100
Fax: (920) 833-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 46699 (WI)

Record details

NPI number1174556450
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2006
Last updated in NPPESSeptember 11, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesPERIPHERAL VASCULAR DISEASE
Medical schoolUNIVERSITY OF MANITOBA, FACULTY OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Cleanslate Medical Group Of Wisconsin Sc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $125 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Cleanslate Medical Group of Wisconsin SC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 28 clinicians in the practice; 12 are shown here.

Other providers in Seymour