NPIMap

Organization Active NPI

Aspirus Wausau Hospital, Inc.

  • Rehabilitation Clinic/Center
  • Wausau, WI
National Provider Identifier
1083955165
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ASPIRUS WAUSAU HOSPITAL, INC.
Practice address
3200 Westhill Dr Ste 100
Wausau, WI 54401-4706
Phone
(715) 843-1058
NPI assigned
Mar 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Mrs. Jerry M Yang
Title
SVP & Chief Financial Officer
Phone
(715) 847-2526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

3200 Westhill Dr Ste 100
Wausau, WI 54401-4706

Mailing address

520 N 28TH Ave
Wausau, WI 54401-4101
Phone (715) 843-1058

Other identifiers 1

IdentifierTypeStateIssuer
1083955165MedicaidWI

Other names 1

  • Aspirus Outpatient Therapies - Pediatrics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041111000135 WI Part A Provider - Hospital 6406757442 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Weston, WI; Wausau, WI; Marathon, WI; Merrill, WI; Stevens Point, WI

Hospital certification: CCN 520030

Legal name
ASPIRUS WAUSAU HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1970
Last certification
Oct 6, 2005
Beds
321
Ownership / control type
Private (for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 2, 1982 in WI
Enrollment address
333 Pine Ridge Blvd
Wausau, WI 54401-4102
Main/Primary Hospital Location
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Aspirus Wausau HospitalCCN 520030
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Wausau Hospital Center22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Jennifer Redman-Schell Individual W-2 Managing Employee Oct 1, 2019
Operational/Managerial Control Oct 1, 2019
Tou Shoua J Lor Individual Corporate DirectorBoard Member Sep 30, 2021
Jennifer Enman-Bourgon Individual Corporate DirectorBoard Member Aug 1, 2023
Marco Espinoza Individual Corporate DirectorBoard Member Sep 30, 2021
Michael a Umland Individual Corporate DirectorBoard Member Sep 30, 2022
Bryan Borrell Individual Corporate DirectorBoard Member Oct 1, 2022
Jeremy Lewitzke Individual Corporate DirectorBoard Member Sep 30, 2021
Kyle Page Individual Corporate DirectorBoard Member Sep 30, 2021
Aspirus, Inc Organization, Wausau, WI Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2008 100%
Operational/Managerial Control Jul 1, 2008 100%
Elizabeth a Renaker-Jansen Individual Corporate DirectorBoard Member Oct 1, 2022
Jeffrey Wicklander Individual W-2 Managing Employee Jan 1, 2022
Operational/Managerial Control Jan 1, 2022
Lori Peck Individual Corporate DirectorVP - System Finance Nov 1, 2018
W-2 Managing EmployeeVP- System Finance Nov 1, 2018
Operational/Managerial ControlVP- System Finance Nov 1, 2018
Tyler Hack Individual Corporate DirectorVP - System Revenue Cycle Feb 26, 2024
W-2 Managing EmployeeVP - System Revenue Cycle Feb 26, 2024
Operational/Managerial ControlVP - System Revenue Cycle Feb 26, 2024
Matthew F Heywood Individual Corporate OfficerCeo Jul 1, 2013
W-2 Managing EmployeeCeo Jul 31, 2013
Operational/Managerial ControlCeo Jul 31, 2013

Owners & managing parties with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 832

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

View all 832

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1083955165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 28TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014101",
            "telephone_number": "715-843-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WESTHILL DR STE 100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014706",
            "telephone_number": "715-843-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS WAUSAU HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SVP & CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "715-847-2526",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083955165",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Outpatient Therapies - Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspirus Outpatient Therapies - Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.