NPIMap

Organization Active NPI

Ascension Wisconsin Emerus Menomonee Falls, LLC

  • General Acute Care Hospital
  • Waukesha, WI
National Provider Identifier
1225635592
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ASCENSION WISCONSIN EMERUS MENOMONEE FALLS, LLC
Practice address
2325 Fox Run Blvd
Ste 100
Waukesha, WI 53188-6602
Phone
(262) 732-3865
NPI assigned
Oct 8, 2020
Organization subpart
Yes
Parent organization
ASCENSION WISCONSIN EMERUS MENOMONEE FALLS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Victor Schmerbeck
Title
Ceo
Phone
(713) 637-1145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

2325 Fox Run Blvd
Ste 100
Waukesha, WI 53188-6602

Mailing address

8686 New Trails Dr, Ste 100
The Woodlands, TX 77381-1176
Phone (713) 637-1146

Other identifiers 1

IdentifierTypeStateIssuer
100197944MedicaidWI

Other names 1

  • Ascension Wisconsin Hospital - Waukesha Campus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210721003901 WI Part A Provider - Hospital 4385043132 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Menomonee Falls, WI; Milwaukee, WI

Hospital certification: CCN 520214

Legal name
ASCENSION WISCONSIN EMERUS MENOMONEE FALLS LLC
Doing business as
ASCENSION WISCONSIN HOSPITAL- MENOMONEE FALLS CAMPUS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 22, 2021
Last certification
Dec 22, 2021
Beds
24
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Apr 15, 2020 in WI
Enrollment address
N88W14275 Main St
Ste 100
Menomonee Falls, WI 53051-2315
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Short-term

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Ascension Wisconsin Hosp Menomonee Falls CampusCCN 520214
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Ascension Wisconsin Emerus Menomonee Falls LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2304 W Saint Paul Ave
Ste 100
Waukesha, WI 53188

2325 Fox Run Blvd
Ste 100
Waukesha, WI 53188
Phone (262) 732-3865

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Emerus Investment Company X, LLC Organization, The Woodlands, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 15, 2020 100%
Matthew T Hanselman Individual W-2 Managing EmployeeAd; Jan 26, 2024
Operational/Managerial ControlAdministrator Jan 26, 2024
Ascension Wisconsin Emerus JV, LLC Organization, The Woodlands, TX LLC 5% Or Greater Direct Ownership Interest Apr 15, 2020 100%
Victor Schmerbeck Individual Corporate OfficerCeo Oct 9, 2023
W-2 Managing Employee Feb 15, 2020
Emerus Intermediate Holdings Inc Organization, New York, NY Corporation, Holding company 5% Or Greater Indirect Ownership Interest Apr 15, 2020 49%
Columbia St Marys Hospital Milwaukee Inc Organization, Glendale, WI Corporation 5% Or Greater Indirect Ownership Interest Apr 15, 2020 51%
Emerus Holdings, Inc. Organization, The Woodlands, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 15, 2020 49%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 52

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

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1225635592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8686 NEW TRAILS DR, STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811176",
            "telephone_number": "713-637-1146",
            "fax_number": "281-292-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 FOX RUN BLVD",
            "address_2": "STE 100",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531886602",
            "telephone_number": "262-732-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION WISCONSIN EMERUS MENOMONEE FALLS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION WISCONSIN EMERUS MENOMONEE FALLS, LLC",
        "enumeration_date": "2020-10-08",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "SCHMERBECK",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-637-1145"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100197944",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Wisconsin Hospital - Waukesha Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascension Wisconsin Hospital - Waukesha Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.