NPIMap

Organization Active NPI

Winona Health Services

  • General Acute Care Hospital
  • Winona, MN
National Provider Identifier
1295789352
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
331049 Issued in MN
Legal business name
WINONA HEALTH SERVICES
Practice address
855 Mankato Ave
Winona, MN 55987-5377
Phone
(507) 454-3650
Fax
(507) 457-4413
NPI assigned
May 20, 2006
Last updated
May 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Ms. Rachelle Schultz
Title
Ceo
Phone
(507) 457-4300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 331049 MN Primary
General Practice Physician 208D00000X MN

Addresses

Primary practice location

855 Mankato Ave
Winona, MN 55987-5377

Mailing address

855 Mankato Ave
PO Box 5600
Winona, MN 55987-5377
Phone (507) 454-3650

Other identifiers 5

IdentifierTypeStateIssuer
38040COOtherMNBLUE SHIELD PHYS
11004400MedicaidWI
1928HCOOtherMNBLUE CROSS PROV #
CE1794OtherMNMEDICARE RAILROAD
124847200MedicaidMN

Other names 1

  • Winona Community Memorial Hospital Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, SD, TX, CO6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20030421000012 MN Part A Provider - Hospital 8527977420 Practice locations: Rushford, MN; Winona, MN
O20040106000260 MN Part B Supplier - Clinic/Group Practice 8527977420 Receives reassigned benefits from 360 practitioners
1 other NPI on this enrollment
Practice locations: Minneapolis, MN; Rushford, MN; Winona, MN
O20100129000724 WI Part B Supplier - Clinic/Group Practice 8527977420 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Viroqua, WI; Fountain City, WI; La Crosse, WI
O20200417003366 SD Part B Supplier - Clinic/Group Practice 8527977420 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux Falls, SD
O20240126002860 TX Part B Supplier - Clinic/Group Practice 8527977420 Practice locations: Houston, TX
O20260624000029 CO Part B Supplier - Clinic/Group Practice 8527977420 Receives reassigned benefits from 1 practitioner
Practice locations: Highlands Ranch, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295789352. Details of each certification follow.

Hospital certification: CCN 240044

Legal name
WINONA HEALTH SERVICES
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 25, 2015
Beds
57 (49 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1900 in MN
Enrollment address
855 Mankato Ave
Winona, MN 55987-4868
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

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

Other NPIs with the same Medicare PAC ID 6

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
Winona Health ServicesCCN 240044 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

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

Locations

90 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-0088

1268 W 5th St
Winona, MN 55987
Phone (507) 457-7607

930 Parks Ave
Winona, MN 55987
Phone (507) 457-7703

4510 N Lewis Ave
Sioux Falls, SD 57104
Phone (605) 322-5381

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
David Vaselaar Individual Corporate Director Jan 1, 2020
Kenneth a Mogren Individual Corporate Director Jan 1, 2007
Everett Allen Beguin Individual Corporate Director Feb 6, 2020
Nicholas Modjeski Individual Corporate Director Dec 1, 2017
Jessica Remington Individual W-2 Managing EmployeeCfo Jul 3, 2023
Operational/Managerial ControlCfo Jul 3, 2023
Greg Evans Individual Corporate Director Jun 1, 2016
Brian Semling Individual Corporate Director Nov 1, 2016
David M Gilmer Individual Corporate Director Aug 1, 2018
Steven L Blue Individual Corporate Director Jan 1, 2007
Robert Williams Individual Corporate Director Nov 1, 2016
Hugh Miller Individual Corporate Director Nov 21, 2007
Sandra Burke Individual Corporate Director Jan 1, 2016
Matthew Broghammer Individual Corporate Director Jan 1, 2007
Phil Sonnenberg Individual Corporate DirectorDirector Jan 1, 2025
Katrina R Hammel Individual Corporate Director Feb 1, 2019
Fatima Said Individual Corporate Director Aug 1, 2018
Todd Paulson Individual Corporate Director Aug 1, 2018
Rachelle Heising-Schultz Individual Corporate Director Apr 21, 2003
Operational/Managerial ControlPresident/Ceo Apr 1, 2003
Audrey Ceplecha Individual W-2 Managing Employee Jun 1, 1993

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake Winona ManorWinona, MN, CCN 245240 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2011
Winona Area Hospice ServicesWinona, MN, CCN 241535 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 391

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 391

Affiliated clinicians 202

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

View all 202

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1295789352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 MANKATO AVE",
            "address_2": "PO BOX 5600",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875377",
            "telephone_number": "507-454-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MANKATO AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875377",
            "telephone_number": "507-454-3650",
            "fax_number": "507-457-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINONA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-457-4300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MN",
            "license": "331049",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PHYS",
            "identifier": "38040CO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11004400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROV #",
            "identifier": "1928HCO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CE1794",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124847200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winona Community Memorial Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Winona Community Memorial Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.