Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
Organization Active NPI Critical Access Hospital · Menomonie, WI
NPI 1154372944 · NPPES record last updated Aug 11, 2026
Key facts
- NPI
- 1154372944
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 698-800 (WI)
- Legal business name
- MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.
- Practice address
- 2321 Stout Rd
Menomonie, WI 54751-7003 - Phone
- (715) 235-5531
- Fax
- (715) 233-7645
- NPI assigned
- May 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Adam Smith
- Title
- Cfo
- Phone
- (715) 838-5275
Owners & managing parties with NPI records 17
-
Jason Beckermann, MD
-
Janel N Glantz, M.D.
-
Richard A Helmers, M.D.
-
Paul E Molling, DO
-
Charles W. Nordstrom, M.D.
-
Matthew Olmstead, D.O.
-
Gurpreet Singh, M.D.
Other NPIs with the same Medicare PAC ID 20
Corporate family (same tax ID) 24
Related certifications (CCN) 1
Facilities with the same owner 38
Practitioners 966
-
Justine M Abel, DO
-
Ajit O. Abraham, M.D.
-
Abdulla Akfaly, MD
-
Eyad S Al-Hattab, MD
-
Jessica Rae Alstead, PA-C
-
Emeka Joseph Amadi, M.D.
-
Laura Leigh Ambler, D.O.
-
John David Anczak, PAC
-
Marina Antic, MD
-
Douglas G Auleta, MD
-
Ryan Earl Bailey, MD
-
Janna S. Baker, NP
-
Jennifer Suzanne Bantz, M.D.
-
Mary E Barneson, RN, MSN, AG-ACNP-BC
-
Michel K Barsoum, MD
-
Sandeep K Basu, MD
-
Jason Beckermann, MD
Affiliated clinicians 490
-
Justine M Abel, DO
-
Abdulla Akfaly, MD
-
Eyad S Al-Hattab, MD
-
Emeka Joseph Amadi, M.D.
-
Laura Leigh Ambler, D.O.
-
Daniel Anderson, D.O.
-
Kelly Ann Andrews, DNP, FNP-C
-
Marina Antic, MD
-
Kimberly A Arndorfer, N.P.
-
Douglas G Auleta, MD
-
Megan Baierl, APNP
-
Ryan Earl Bailey, MD
-
Pankaj Bansal, M.D.
-
Jennifer Suzanne Bantz, M.D.
-
Mary E Barneson, RN, MSN, AG-ACNP-BC
-
Michel K Barsoum, MD
-
Sandeep K Basu, MD
Medicare Care Compare: Hospital
- Listed as
- Mayo Clinic Health System-Red Cedar Inc
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Critical Access 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 521340
- Legal name
- MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION INC
- Doing business as
- MAYO CLINIC HEALTH SYSTEM-RED CEDAR
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jul 2, 2004
- Last certification
- Jun 11, 2004
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Jan 1, 2018 (1 total)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 2321 Stout Rd
Menomonie, WI 54751-7003
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Matthew J Olmstead |
Corporate Director |
Jan 1, 2025 | |
| Paul Molling |
Corporate Officer |
Mar 11, 2026 | |
| Corporate Director |
Mar 11, 2026 | ||
| Franklin K Ackerman |
Corporate Officer |
Jan 1, 2025 | |
| Robert C Peck |
Corporate Officer |
Jan 1, 2018 | |
| Corporate Director |
Jan 1, 2018 | ||
| Jason Beckermann |
Corporate Director |
Jan 1, 2025 | |
| Dean B Eide |
W-2 Managing Employee |
Oct 1, 2021 | |
| Timothy J Young |
Corporate Director |
Jan 1, 2025 | |
| Richard a Helmers |
Corporate Officer |
Jan 1, 2018 | |
| Corporate Director |
Jan 1, 2018 | ||
| Lisa Gillette |
Corporate Director |
May 1, 2026 | |
| Charles W Nordstrom |
Corporate Director |
Jan 1, 2025 | |
| Kevin M Fitzgerald |
Corporate Director |
Jan 1, 2025 | |
| Gurpreet Singh |
Corporate Director |
Jan 1, 2025 | |
| Robert J Wiechmann |
Corporate Director |
Jan 1, 2025 | |
| Mayo Clinic |
Operational/Managerial Control | Jan 1, 2018 | |
| Adam W Smith |
Corporate Officer |
Jan 19, 2026 | |
| Corporate Director |
Jan 19, 2026 | ||
| Kelly M Buchholtz |
Corporate Director |
Jan 1, 2025 | |
| Janel N Glantz |
Corporate Director |
Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171012000001 | WI | Part a Provider - Critical Access Hospital | 4385553627 |
Receives reassigned benefits from 600 practitioners Practice locations: Menomonie, WI; Glenwood City, WI |
National Provider Directory
- Tax ID family
- Mayo Clinic Health System-Northwest Wisconsin Region Inc
Locations
2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 698-800 | WI | Yes |
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
2321 Stout Rd
Menomonie, WI 54751-7003
Mailing address
2321 Stout Rd
Menomonie, WI 54751-7003
Phone (715) 235-5531
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11006200 | Medicaid | WI | |
| 510190875011 | Other | WI | BLUE CROSS PROVIDER NUMBE |
Other names
- Mayo Clinic Health System-Menomonie
- Mayo Clinic Health System-Red Cedar
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Menomonie, WI
- Gregory J Mack
- Morgan Mack
- Shauna Colleen Maloney
- Taura Maraia
- Christopher Martinez
- Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
- Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
- Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
- Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
- Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
All providers in Menomonie, WI · Critical Access Hospital in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 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.