NPIMap

Organization Active NPI

Gundersen Lutheran Medical Center, Inc.

Doing business as Emplify Health Hospice

  • Community Based Hospice Care Agency
  • La Crosse, WI
National Provider Identifier
1013943893
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GUNDERSEN LUTHERAN MEDICAL CENTER, INC.
Doing business as
Emplify Health Hospice
Gundersen Lutheran Hospice
Practice address
333 Front St N
La Crosse, WI 54601-3220
Phone
(608) 782-7300
NPI assigned
Jun 24, 2006
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
GUNDERSEN LUTHERAN MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debra L Van Pay
Title
Director, Reimbursement
Phone
(920) 436-8628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

333 Front St N
La Crosse, WI 54601-3220

Mailing address

1910 South Ave
La Crosse, WI 54601-5467
Phone (608) 782-7300

Other identifiers 1

IdentifierTypeStateIssuer
43189900MedicaidWI

Other names 2

  • Emplify Health Hospice Doing business as
  • Gundersen Lutheran Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030307000018 WI Part A Provider - Hospice 2163331414 Practice locations: La Crosse, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013943893. Details of each certification follow.

Hospice certification: CCN 521572

Legal name
GUNDERSEN LUTHERAN MEDICAL CENTER INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 24, 2003
Last certification
May 28, 2010
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Oct 28, 1899 in WI
Enrollment address
333 Front St N
La Crosse, WI 54601-3220

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Care Compare: Hospice

Medicare Care Compare
Listed as
Gundersen Lutheran Medical CenterCCN 521572 · All quality measures
Ownership
Other
Certified
Apr 24, 2003
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Gundersen Lutheran Medical Center27 organizations share this tax ID, including this one
Part of
Gundersen Lutheran Medical Center

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

333 Front St N
La Crosse, WI 54601
Phone (608) 519-4452

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Andrea Hauser Individual Corporate Director Nov 30, 2022
Scott Rathgaber Individual Corporate DirectorCeo Jan 1, 2016
Bryan Erdmann Individual Corporate Director Nov 30, 2022
Bellin Gundersen Health System Inc Organization, La Crosse, WI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Nov 30, 2022 100%
Operational/Managerial Control Nov 30, 2022 100%
Lindsay Boehm Individual W-2 Managing Employee Feb 1, 2022
Laurence P Skendzel Individual W-2 Managing EmployeeMedical Director Mar 21, 2024
Renee Davis Individual W-2 Managing EmployeeAdministrator Mar 21, 2024
Todd J Kowalski Individual Corporate Director Nov 30, 2022
Heather Schimmers Individual Corporate Director Nov 30, 2022
Gundersen Lutheran Health System Inc Organization, La Crosse, WI Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 15, 2009 100%
Operational/Managerial Control May 15, 2009 100%
Jennifer E Kleven Individual Corporate DirectorBoard Member Jan 1, 2023
Kari B Adank Individual Corporate OfficerVice President Compliance May 10, 2010
W-2 Managing Employee Jun 14, 2010

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 49

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 49

Practitioners & affiliated clinicians

Practitioners 794

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 794

Affiliated clinicians 40

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 40

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1013943893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015467",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 FRONT ST N",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013220",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDERSEN LUTHERAN MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUNDERSEN LUTHERAN MEDICAL CENTER, INC.",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "VAN PAY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR, REIMBURSEMENT",
        "authorized_official_telephone_number": "920-436-8628"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43189900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emplify Health Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gundersen Lutheran Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.