NPIMap

Organization Active NPI

Aspirus Riverview Hospital & Clinics, Inc.

Doing business as Aspirus Nekoosa Clinic

  • Rural Health Clinic/Center
  • Nekoosa, WI
National Provider Identifier
1104284512
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC.
Doing business as
Aspirus Nekoosa Clinic
Practice address
1015 Angelus Dr
Nekoosa, WI 54457-1617
Phone
(715) 866-2100
NPI assigned
Feb 1, 2016
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Mr. Lori Peck
Title
SVP- Chief Financial Officer
Phone
(715) 847-2575

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Multi-Specialty Clinic/Center 261QM1300X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1015 Angelus Dr
Nekoosa, WI 54457-1617

Mailing address

29980 Network PL
Chicago, IL 60673-1299
Phone (715) 847-2304

Other names 1

  • Aspirus Nekoosa Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040414000945 WI Part B Supplier - Clinic/Group Practice 4587658182 Receives reassigned benefits from 430 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wisconsin Rapids, WI; Stevens Point, WI; Nekoosa, WI; Marshfield, WI; Adams, WI
O20170411000010 WI Part A Provider - Rural Health Clinic 4587658182 Practice locations: Nekoosa, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104284512. Details of each certification follow.

Rural health clinic certification: CCN 528581

Legal name
ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC
Doing business as
ASPIRUS NEKOOSA CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 17, 2017
Last certification
Nov 17, 2017
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 1937 in WI
Enrollment address
1015 Angelus Dr
Nekoosa, WI 54457-1617
Related CCNs
520033

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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 8

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0395548Aspirus Riverview Hospital and Clinics, Inc1015 Angelus Dr, Nekoosa, WI 54457Certificate of waiverJun 30, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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 Corporate DirectorBoard Member Apr 21, 2022
Jerry M Yang Individual Corporate DirectorSVP and Chief Financial Officer Feb 26, 2024
W-2 Managing EmployeeSVP and Chief Financial Officer Feb 26, 2024
Operational/Managerial ControlSVP and Chief Financial Officer Feb 26, 2024
Justin Huebner Individual Corporate DirectorBoard Member Apr 21, 2022
Joshua Pogorelec Individual Corporate DirectorBoard Member Sep 30, 2023
Michael Bovee Individual Corporate DirectorBoard Member Mar 1, 2017
Connie Bradley Individual Corporate DirectorBoard Member Sep 3, 2024
Susan Kreckman Individual Corporate DirectorBoard Member Sep 30, 2023
Chris Squire Individual Corporate DirectorBoard Member Sep 3, 2024
Aspirus, Inc Organization, Wausau, WI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2017 100%
Lynn Vogt Individual Corporate DirectorBoard Member Sep 30, 2023
Carrie Penovich Individual Corporate DirectorBoard Member Sep 3, 2024
Trina Daniels Individual Corporate DirectorBoard Member Sep 30, 2023
Mary Ironside Individual Corporate Director May 18, 2017
Daniel Burns Individual Corporate DirectorBoard Member Sep 30, 2021
Lori Peck Individual Corporate DirectorVP - Finance Sep 30, 2015
W-2 Managing EmployeeVP-Finance Sep 30, 2015
Operational/Managerial ControlVP-Finance Sep 30, 2015
Tyler Hack Individual Corporate DirectorVP - Revenue Cycle Feb 26, 2024
W-2 Managing EmployeeVP - Revenue Cycle Feb 26, 2024
Operational/Managerial ControlVP - Revenue Cycle Feb 26, 2024
Shelly Mondeik Individual Corporate DirectorBoard Member Sep 30, 2020
Bonita Kolrud Individual Corporate DirectorBoard Member Sep 30, 2018
Matthew F Heywood Individual Corporate DirectorBoard Member Jul 1, 2013
W-2 Managing EmployeeBoard Member Jul 1, 2013
Operational/Managerial ControlBoard Member/Managerial Control Jul 1, 2013
Rebecca Sommer Individual Corporate DirectorBoard Member Sep 30, 2021

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 79

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

View all 79

Practitioners & affiliated clinicians

Practitioners 51

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 51

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1104284512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29980 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731299",
            "telephone_number": "715-847-2304",
            "fax_number": "715-843-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 ANGELUS DR",
            "city": "NEKOOSA",
            "state": "WI",
            "postal_code": "544571617",
            "telephone_number": "715-866-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "SVP- CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "715-847-2575",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Nekoosa Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nekoosa, WI

Sources for this page

Verify at the official NPI Registry.