Ascension NE Wisconsin, Inc
Organization Active NPI Ambulatory Surgical Clinic/Center · Menasha, WI
NPI 1124075536 · NPPES record last updated Jul 3, 2026
Key facts
- NPI
- 1124075536
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- ASCENSION NE WISCONSIN, INC
- Practice address
- 1550 Midway PL
Menasha, WI 54952 - Phone
- (920) 720-1464
- Fax
- (920) 720-1728
- NPI assigned
- May 30, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ASCENSION NE WISCONSIN, INC
Authorized official
- Name
- Susan Dwyer
- Title
- Cfo
- Phone
- (414) 465-3093
Owners & managing parties with NPI records 1
-
David E Miller, DPM
Other NPIs on the same Medicare enrollment 1
Related certifications (CCN) 1
Practitioners 7
-
Linda H. Lee, M.D. PH.D. M.P.H.
Affiliated clinicians 510
-
Kamal Kant Singh Abbi, M.D.
-
Satish K Achanti, MD
-
Eric Adar, MD
-
Suraiya Afroz, D.O.
-
Osaid K Ahmad, MD
-
William Victor Albiero, M.D.
-
Kristina Rae Almanza, APRN
-
Jonathan Amrhein, M.D.
-
Sally Andersen, FNP-BC, APNP
-
Laura Mae Anderson, APNP
-
Laura A Andrews, MD
-
Zeenath Asma, MD
-
Bryan A Avery, MD
-
Merici A Awe, MD
-
Marshall John Bales, M.D.
Medicare Care Compare: Hospital
- Listed as
- Ascension NE Wisconsin - St Elizabeth Campus
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Hospital certification: CCN 520009
- Legal name
- ASCENSION NE WISCONSIN, INC
- Doing business as
- ASCENSION NE WISCONSIN-ST ELIZABETH CAMPUS
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Oct 1, 2003
- Beds
- 332
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 3, 1930 in WI
- Enrollment address
- 1506 S Oneida St
Appleton, WI 54915-1305 - Hospital subgroups
- General, Acute care, Alcohol/drug
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Ministry Health Care Inc |
Operational/Managerial Control | Feb 8, 2012 | |
| Kurt Schley |
Corporate Director |
Jan 1, 2026 | |
| Michael Bergmann |
W-2 Managing Employee |
Jan 25, 2021 | |
| Operational/Managerial Control |
Jan 25, 2021 | ||
| John Rowe |
Corporate Director |
Jul 1, 2018 | |
| Kristin a McManmon |
Corporate Director |
Jan 1, 2026 | |
| Daniel W Jackson |
Corporate Officer |
Jan 1, 2024 | |
| W-2 Managing Employee |
Jan 1, 2024 | ||
| Operational/Managerial Control |
Jan 1, 2024 | ||
| Robin Barten |
W-2 Managing Employee |
Nov 1, 2024 | |
| Michael McCullough |
Corporate Officer |
Oct 21, 2024 | |
| W-2 Managing Employee |
Oct 21, 2024 | ||
| Operational/Managerial Control |
Oct 21, 2024 | ||
| Stephanie Hietpas |
W-2 Managing Employee |
Nov 1, 2024 | |
| Andre I Storey |
Corporate Director |
Jan 1, 2026 | |
| Rexanne R Braun |
W-2 Managing Employee |
Jul 1, 2019 | |
| David E Miller |
Corporate Director |
Jul 1, 2024 | |
| Ascension Health |
Operational/Managerial Control | Mar 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030627000014 | WI | Part a Provider - Hospital | 7719897784 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Appleton, WI; Winneconne, WI; Neenah, WI; Menasha, WI; Greenville, WI |
National Provider Directory
- Part of
- Goldstein Surgery
Locations
1205 West American Dr
#220
Neenah, WI 54956
2700 W 9th Ave
Ste 215
Oshkosh, WI 54904
515 S Washburn St
Ste 104
Oshkosh, WI 54904
Phone (920) 236-8570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes | ||
| General Acute Care Hospital | 282N00000X | 88 | WI |
Addresses
Primary practice location
1550 Midway PL
Menasha, WI 54952
Mailing address
1550 Midway PL
Menasha, WI 54952-1165
Phone (920) 720-1464
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41908300 | Medicaid | WI |
Other names
- Ascension NE Wisconsin Surgery Center
- Ascension NE Wisconsin-St Elizabeth Surgery Center
Other providers in Menasha, WI
- Aridan LLC
- Mindy Arndt
- Ascension Medical Group -Fox Valley Wisconsin, Inc
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Ascension Medical Group-Fox Valley Wisconsin, Inc
- Betty J Atchison
- Aurora Pharmacy Inc
- Autism Society of Greater Wisconsin
- Merri Autumn-Helgeson
- Azeem Cares LLC
All providers in Menasha, WI · Ambulatory Surgical 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 Jul 3, 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.