Active NPI
Aspirus Stanley Hospital & Clinics, Inc.
Doing business as Aspirus Stanley Hospital
- Medicare Defined Swing Bed Hospital Unit
- Stanley, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- Legal business name
- ASPIRUS STANLEY HOSPITAL & CLINICS, INC.
- Doing business as
- Aspirus Stanley Hospital
- Practice address
- 1120 Pine St
Stanley, WI 54768-1297 - Phone
- (715) 644-5571
- Fax
- (715) 644-6221
- NPI assigned
- Feb 16, 2006
- Last updated
- Feb 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Peck
- Title
- SVP- Chief Financial Officer
- Phone
- (715) 847-2575
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | NU | Primary | |
| General Acute Care Hospital | 282N00000X | NU |
Addresses
Primary practice location
1120 Pine St
Stanley, WI 54768-1297
Mailing address
29980 Network Placec
Chicago, IL 60673-1299
Phone (715) 847-2304
Other names 1
- Aspirus Stanley Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070509000470 | WI | Part A Provider - Critical Access Hospital | 8325957095 |
1 other NPI on this enrollment Practice locations: Stanley, WI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1114991932. Details of each certification follow.
Hospital certification: CCN 52Z311
- Legal name
- ASPIRUS STANLEY HOSPITAL & CLINICS INC
- Doing business as
- ASPIRUS STANLEY HOSPITAL
- Organization structure
- Corporation
- Incorporated
- Jan 1, 1951 in WI
- Enrollment address
- 1120 Pine St
Stanley, WI 54768-1297
Related certifications (CCN) 2
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Aspirus Pharmacy - Stanley
- Community/Retail Pharmacy
- Stanley, WI
- NPI 1578272266
Unit of hospital
-
dba Aspirus Stanley Hospital
- Critical Access Hospital
- Stanley, WI
- NPI 1053391730
Unit of hospital
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Aspirus Pharmacy - Stanley
- Community/Retail Pharmacy
- Stanley, WI
- NPI 1578272266
8325957095
-
dba Aspirus Thorp Clinic
- Rural Health Clinic/Center
- Thorp, WI
- NPI 1780663989
8325957095
-
dba Aspirus Stanley Hospital
- Critical Access Hospital
- Stanley, WI
- NPI 1053391730
8325957095
-
dba Aspirus Stanley Clinic
- Rural Health Clinic/Center
- Stanley, WI
- NPI 1356311252
8325957095
-
dba Aspirus Owen Clinic
- Rural Health Clinic/Center
- Owen, WI
- NPI 1700866399
8325957095
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Aspirus Stanley Hospital
- Critical Access Hospital
- Stanley, WI
- NPI 1053391730
O20070509000470
National Provider Directory
National Provider Directory- Tax ID family
- Victory Medical Center
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Ascension Our Lady of Victory Hospital
- Clinical Medical Laboratory
- Stanley, WI
- NPI 1134193014
-
dba Aspirus Stanley Hospital
- Non-Pharmacy Dispensing Site
- Stanley, WI
- NPI 1336888502
-
dba Aspirus Pharmacy - Stanley
- Community/Retail Pharmacy
- Stanley, WI
- NPI 1578272266
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jeffrey Koenig | Corporate Director | Nov 1, 2023 | |
| Michael Holzhueter | Corporate Director | Oct 1, 2019 | |
| Randy Juedes | Corporate Director | Oct 1, 2019 | |
| John Lange | Corporate Director | Oct 1, 2020 | |
| Susan M Schneider | Corporate Director | Oct 1, 2020 | |
| Aspirus, Inc | 5% Or Greater Direct Ownership Interest | Aug 1, 2021 | 100% |
| Operational/Managerial Control | Aug 1, 2021 | ||
| James Matheson | Corporate Director | Oct 1, 2020 | |
| Rachel a Dixon | Corporate Director | Jan 17, 2018 | |
| Greg Shaw | W-2 Managing Employee | Jan 1, 2022 | |
| Operational/Managerial Control | Jan 1, 2022 | ||
| Lori Peck | Corporate Director | Sep 30, 2015 | |
| W-2 Managing Employee | Aug 1, 2021 | ||
| Operational/Managerial Control | Aug 1, 2021 | ||
| Tyler Hack | Corporate Director | Feb 26, 2024 | |
| W-2 Managing Employee | Feb 26, 2024 | ||
| Operational/Managerial Control | Feb 26, 2024 | ||
| Diane M Anderson | Corporate Director | Oct 1, 2022 | |
| Matthew F Heywood | Corporate Officer | Aug 1, 2021 | |
| W-2 Managing Employee | Jul 31, 2013 | ||
| Operational/Managerial Control | Jul 31, 2013 |
Owners & managing parties with NPI records 3
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.
-
dba Aspirus Eagle River Hospital
- Medicare Defined Swing Bed Hospital Unit
- Eagle River, WI
- NPI 1780648659
Aspirus, Inc
-
dba Aspirus Eagle River Hospital
- Critical Access Hospital
- Eagle River, WI
- NPI 1346204385
Aspirus, Inc
-
dba Aspirus Hurley Clinic
- Rural Health Clinic/Center
- Hurley, WI
- NPI 1154434249
Aspirus, Inc
-
dba Aspirus Care & Rehab - Medford
- Skilled Nursing Facility
- Medford, WI
- NPI 1033291000
Aspirus, Inc
-
dba Aspirus Gilman Clinic
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
Aspirus, Inc
-
- Medicare Defined Swing Bed Hospital Unit
- Medford, WI
- NPI 1427105923
Aspirus, Inc
-
dba Aspirus Medford Clinic
- Rural Health Clinic/Center
- Medford, WI
- NPI 1427140649
Aspirus, Inc
-
dba Aspirus Medford Hospital
- Critical Access Hospital
- Medford, WI
- NPI 1619079597
Aspirus, Inc
-
dba Aspirus Prentice Clinic
- Rural Health Clinic/Center
- Prentice, WI
- NPI 1710066584
Aspirus, Inc
-
dba Aspirus Athens Clinic
- Rural Health Clinic/Center
- Athens, WI
- NPI 1760912919
Aspirus, Inc
-
dba Aspirus Phillips Clinic
- Rural Health Clinic/Center
- Phillips, WI
- NPI 1891971768
Aspirus, Inc
-
dba Aspirus Merrill Hospital
- Critical Access Hospital
- Merrill, WI
- NPI 1124084678
Aspirus, Inc
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772064000000",
"number": "1114991932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29980 NETWORK PLACEC",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731299",
"telephone_number": "715-847-2304",
"fax_number": "715-842-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 PINE ST",
"city": "STANLEY",
"state": "WI",
"postal_code": "547681297",
"telephone_number": "715-644-5571",
"fax_number": "715-644-6221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPIRUS STANLEY HOSPITAL & CLINICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-16",
"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"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aspirus Stanley Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stanley, WI
- Ascension Wisconsin Pharmacy, Inc. (Ascension Rx 707)
- Aspirus Stanley Hospital & Clinics, Inc (Ascension Our Lady of Victory Hospital)
- Aspirus Stanley Hospital & Clinics, Inc (Aspirus Stanley Hospital)
- Aspirus Stanley Hospital & Clinics, Inc (Aspirus Pharmacy - Stanley)
- Aspirus Stanley Hospital & Clinics, Inc. (Aspirus Stanley Hospital)
- Aspirus Stanley Hospital & Clinics, Inc. (Aspirus Stanley Clinic)
- Krystle Bacha
- Thomas D Bentz, LCSW, PH.D.
- Brady Troy Booth, DC
- Ava Carlo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.