NPIMap

Organization Active NPI

Ascension Wisconsin Emerus Menomonee Falls, LLC

Doing business as Ascension Wisconsin Hospital - Greenfield Campus

  • General Acute Care Hospital
  • Milwaukee, WI
National Provider Identifier
1255938510
Registry record updated Aug 26, 2021
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
Doing business as
Ascension Wisconsin Hospital - Greenfield Campus
Practice address
4935 S 76TH St Ste 100
Milwaukee, WI 53220-4305
Phone
(281) 292-2450
NPI assigned
Oct 8, 2020
Last updated
Aug 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Victor Schmerbeck
Title
President
Phone
(832) 423-3927

Specialties & licenses 1

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

Addresses

Primary practice location

4935 S 76TH St Ste 100
Milwaukee, WI 53220-4305

Mailing address

8686 New Trails Dr Ste 100
The Woodlands, TX 77381-1195
Phone (713) 637-1146

Other names 1

  • Ascension Wisconsin Hospital - Greenfield 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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255938510. Details of each certification follow.

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 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2218237Ascension Wisconsin Hospital Greenfield Campus Dba4935 S 76TH St, Suite 100, Milwaukee, WI 53220AccreditationOct 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Ascension Wisconsin Emerus Menomonee Falls LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

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": "1629936000000",
    "number": "1255938510",
    "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": "773811195",
            "telephone_number": "713-637-1146",
            "fax_number": "281-298-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 S 76TH ST STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532204305",
            "telephone_number": "281-292-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION WISCONSIN EMERUS MENOMONEE FALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "SCHMERBECK",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-423-3927"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Wisconsin Hospital - Greenfield Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascension Wisconsin Hospital - Greenfield Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.