Aspirus Riverview Hospital & Clinics, Inc.
Organization Active NPI Rural Health Clinic/Center · Nekoosa, WI
NPI 1104284512 · NPPES record last updated Feb 26, 2026
Key facts
- NPI
- 1104284512
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC.
- Practice address
- 1015 Angelus Dr
Nekoosa, WI 54457-1617 - Phone
- (715) 866-2100
- NPI assigned
- Feb 1, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Lori Peck
- Title
- SVP- Chief Financial Officer
- Phone
- (715) 847-2575
Owners & managing parties with NPI records 4
-
Trina M Daniels, MD
-
Susan H Kreckman, MD
-
Joshua Martin Pogorelec, D.O., M.H.A.
-
Bonita L Kolrud, MD
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 5
Related certifications (CCN) 2
Facilities with the same owner 79
Practitioners 206
-
Osman Ahmedtaha, M.D.
-
Justin Matthew Asquith, M.D.
-
Christine Feder, APNP
-
Nathan D Grabher, M.D.
-
Lisa L Olson, MD
-
Natalie Allman, D.O.
-
Heather Leann Bowen, FNP-C
-
Sherry Ann Hughes, PHYSICIAN ASSISTANT
-
Marwan Aly, M.D., MPAS, PA-C
-
Jillian Marie Ashbeck, NP-C
-
Bryan Kincaid Austin, MD, MS
-
Sudhakar Basetty, MD
-
Lauren Bell, ARNP
-
Danielle Brusky, LPC
-
David Buzas, M.D.
-
Gilberto Cantu, CRNA
-
Connie K Casey, C.R.N.A.
-
Sean Michael Cashin, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0395548 | Aspirus Riverview Hospital and Clinics, Inc | Certificate of waiver | Jun 30, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI
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
- Corporation · Non-profit
- Incorporated
- Jun 1, 1937 in WI
- Enrollment address
- 1015 Angelus Dr
Nekoosa, WI 54457-1617 - Related CCNs
- 520033
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Redman-Schell |
Corporate Director |
Apr 21, 2022 | |
| Jerry M Yang |
Corporate Director |
Feb 26, 2024 | |
| W-2 Managing Employee |
Feb 26, 2024 | ||
| Operational/Managerial Control |
Feb 26, 2024 | ||
| Justin Huebner |
Corporate Director |
Apr 21, 2022 | |
| Joshua Pogorelec |
Corporate Director |
Sep 30, 2023 | |
| Michael Bovee |
Corporate Director |
Mar 1, 2017 | |
| Connie Bradley |
Corporate Director |
Sep 3, 2024 | |
| Susan Kreckman |
Corporate Director |
Sep 30, 2023 | |
| Chris Squire |
Corporate Director |
Sep 3, 2024 | |
| Aspirus, Inc |
5% Or Greater Direct Ownership Interest | Mar 1, 2017 | 100% |
| Lynn Vogt |
Corporate Director |
Sep 30, 2023 | |
| Carrie Penovich |
Corporate Director |
Sep 3, 2024 | |
| Trina Daniels |
Corporate Director |
Sep 30, 2023 | |
| Mary Ironside |
Corporate Director | May 18, 2017 | |
| Daniel Burns |
Corporate Director |
Sep 30, 2021 | |
| Lori Peck |
Corporate Director |
Sep 30, 2015 | |
| W-2 Managing Employee |
Sep 30, 2015 | ||
| Operational/Managerial Control |
Sep 30, 2015 | ||
| Tyler Hack |
Corporate Director |
Feb 26, 2024 | |
| W-2 Managing Employee |
Feb 26, 2024 | ||
| Operational/Managerial Control |
Feb 26, 2024 | ||
| Shelly Mondeik |
Corporate Director |
Sep 30, 2020 | |
| Bonita Kolrud |
Corporate Director |
Sep 30, 2018 | |
| Matthew F Heywood |
Corporate Director |
Jul 1, 2013 | |
| W-2 Managing Employee |
Jul 1, 2013 | ||
| Operational/Managerial Control |
Jul 1, 2013 | ||
| Rebecca Sommer |
Corporate Director |
Sep 30, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
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
- Aspirus Nekoosa Clinic
Other providers in Nekoosa, WI
- Sharon L Arendt
- Aspirus Riverview Hospital & Clinics, Inc.
- Aurora Pharmacy Inc
- Judythe Leigh Bauer
- Elizabeth Brost
- Rhonda Kay Capelle
All providers in Nekoosa, WI · Rural Health Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.