NPIMap

Organization Active NPI

The Howard Young Medical Center, Inc.

Doing business as Howard Young Medical Center - Crna

  • Certified Registered Nurse Anesthetist
  • Woodruff, WI
National Provider Identifier
1306898838
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
THE HOWARD YOUNG MEDICAL CENTER, INC.
Doing business as
Howard Young Medical Center - Crna
Practice address
240 Maple St
Woodruff, WI 54568-9190
Phone
(715) 356-8000
NPI assigned
May 16, 2006
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
THE HOWARD YOUNG MEDICAL CENTER, INC.As reported in NPPES

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
General Acute Care Hospital 282N00000X 201 WI
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

240 Maple St
Woodruff, WI 54568-9190

Mailing address

240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8105

Other identifiers 1

IdentifierTypeStateIssuer
43418400MedicaidWI

Other names 2

  • HOWARD YOUNG MEDICAL CENTER - CRNA Doing business as
  • CRNA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040419000970 WI Part B Supplier - Clinic/Group Practice 4183519606 Receives reassigned benefits from 376 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Woodruff, WI
O20040922000345 WI Part B Supplier - Clinic/Group Practice 4183519606 Receives reassigned benefits from 32 practitioners
Practice locations: Woodruff, WI

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Part of
Betty Hagle DO

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1306898838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MAPLE ST",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545689190",
            "telephone_number": "715-356-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MAPLE ST",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545689190",
            "telephone_number": "715-356-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOWARD YOUNG MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HOWARD YOUNG MEDICAL CENTER, INC.",
        "enumeration_date": "2006-05-16",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WI",
            "license": "201",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43418400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOWARD YOUNG MEDICAL CENTER - CRNA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodruff, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.