NPIMap

Organization Active NPI

Aspirus Merrill Hospital & Clinics, Inc.

Doing business as Aspirus Merrill Hospital

  • Critical Access Hospital
  • Merrill, WI
National Provider Identifier
1124084678
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
5966-800 Issued in WI
Legal business name
ASPIRUS MERRILL HOSPITAL & CLINICS, INC.
Doing business as
Aspirus Merrill Hospital
Practice address
601 S Center Ave
Merrill, WI 54452-3404
Phone
(715) 536-5511
Fax
(715) 539-2107
NPI assigned
Apr 25, 2006
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
Lori Peck
Title
SVP- Chief Financial Officer
Phone
(715) 847-2575

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 5966-800 WI Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

601 S Center Ave
Merrill, WI 54452-3404

Mailing address

PO Box 29980
Chicago, IL 60673-1299
Phone (715) 847-2304

Other names 1

  • Aspirus Merrill Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040301001179 WI Part B Supplier - Clinic/Group Practice 0143117556 Receives reassigned benefits from 363 practitioners
Practice locations: Merrill, WI
O20061104000516 WI Part A Provider - Critical Access Hospital 0143117556 Receives reassigned benefits from 228 practitioners
Practice locations: Merrill, WI
O20070531000046 WI Part A Provider - Critical Access Hospital 0143117556 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Merrill, WI

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1124084678. Details of each certification follow.

Hospital certification: CCN 521339

Legal name
ASPIRUS MERRILL HOSPITAL & CLINICS INC
Doing business as
ASPIRUS MERRILL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2004
Last certification
Jun 5, 2004
Beds
25
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Sep 11, 1950 in WI
Enrollment address
601 S Center Ave
Merrill, WI 54452-3404
Main/Primary Hospital Location

Hospital certification: CCN 52Z339

Legal name
ASPIRUS MERRILL HOSPITAL & CLINICS INC
Doing business as
ASPIRUS MERRILL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Sep 11, 1950 in WI
Enrollment address
601 S Center Ave
Merrill, WI 54452-3404
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Aspirus Merrill HospitalCCN 521339 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 2

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

Locations

800 Pollard Rd
Ste B205
Los Gatos, CA 95032
Phone (408) 300-9298

6440 S Millrock Dr
Ste 175
Salt Lake City, UT 84121
Phone (800) 682-1317

Ownership & related parties

All disclosed owners & managing parties 16

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
Corporate Director Aug 1, 2023
Erika Crockford Individual Corporate DirectorBoard Member Sep 30, 2024
Corporate Director Sep 30, 2024
Marco Espinoza Individual Corporate DirectorBoard Member Sep 30, 2021
Michael a Umland Individual Corporate DirectorBoard Member Sep 30, 2020
Craig D Destree Individual Corporate DirectorBoard Member Sep 30, 2024
Corporate Director Sep 30, 2024
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 Aug 1, 2021 100%
Operational/Managerial Control Aug 1, 2021
Elizabeth a Renaker-Jansen Individual Corporate DirectorBoard Member Oct 1, 2022
Jeffrey Wicklander Individual W-2 Managing EmployeeCeo Aug 1, 2021 100%
W-2 Managing EmployeeCeo Aug 1, 2021
Lori Peck Individual Corporate DirectorVP - System Finance Aug 1, 2023
W-2 Managing EmployeeVP - System Finance Aug 1, 2021
Operational/Managerial ControlVP - System Finance Aug 1, 2021
Corporate DirectorVP - System Finance Aug 1, 2021
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
Matthew F Heywood Individual Corporate OfficerCeo Aug 1, 2021
Corporate DirectorCeo Aug 1, 2021

Owners & managing parties with NPI records 6

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 366

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 366

Affiliated clinicians 84

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

View all 84

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1124084678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29980",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731299",
            "telephone_number": "715-847-2304",
            "fax_number": "715-539-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CENTER AVE",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544523404",
            "telephone_number": "715-536-5511",
            "fax_number": "715-539-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS MERRILL HOSPITAL & CLINICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WI",
            "license": "5966-800",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Merrill Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrill, WI

Sources for this page

Verify at the official NPI Registry.