Aspirus Wausau Hospital, Inc.
Organization Active NPI Clinic/Center · Wausau, WI
NPI 1356576490 · NPPES record last updated Feb 26, 2026
Key facts
- NPI
- 1356576490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ASPIRUS WAUSAU HOSPITAL, INC.
- Practice address
- 215 N 28TH Ave
Wausau, WI 54401-4100 - Phone
- (715) 847-2866
- NPI assigned
- May 19, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- ASPIRUS WAUSAU HOSPITAL, INC.
Authorized official
- Name
- Lori Peck
- Title
- SVP- Chief Financial Officer
- Phone
- (715) 847-2575
Owners & managing parties with NPI records 4
-
Michael A Umland, MD
Other NPIs on the same Medicare enrollment 34
Related certifications (CCN) 2
Practitioners 22
-
Catherine Cooch Allen, M.D.
-
Justin Matthew Asquith, M.D.
-
Bryan Kincaid Austin, MD, MS
-
Connie Endvick, DNP
-
Pavel Guigauri, MD
-
Megan M. Johnson, NP
-
Kali Kann, MPAS PA-C
-
Tracy L. Kiener, PT
-
Luke J Lamers, MD
-
Jennifer J Lee, APNP
-
Hari Menon, MD
-
Ashley Schulz, NP
-
Kelsey Vandenberg, DNP, APNP, AGNP-C
-
Stephen Benton, PA-C
-
Michelle S Davis, APRN, NP
-
Kate Hartman, PA-C
-
Mark Kevin Jacob, M.D.
Affiliated clinicians 832
-
Sandeep Aggarwal, MD
-
Nancy L Aguirre, M.D.
-
Osman Ahmedtaha, M.D.
-
Maurizio Zeki Albala, M.D.
-
Abigail Alft, PA
-
Patrick M Allen, DO
-
Margaret Alvarez, NP
-
Jeffrey Terrence Ambord, PA-C
-
Aaron D. Anderson, M.D.
-
Dawn J Anderson, DPM
-
Diane M Anderson, FNPC
-
Eric R Anderson, D.O.
-
Jacob D Anderson, PA-S
-
Katy Lynn Anderson, APNP
-
Robert F. Anderson, M.D.
-
Michael Andrews, DO
-
Lacy Joyce Arrowood, APNP
-
Justin Matthew Asquith, M.D.
Medicare Care Compare: Hospital
- Listed as
- Aspirus Wausau Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0676856 | Aspirus Regional Cancer Center | Compliance | May 21, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI
Hospital certification: CCN 520030
- Legal name
- ASPIRUS WAUSAU HOSPITAL INC
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1970
- Last certification
- Oct 6, 2005
- Beds
- 321
- Ownership / control type
- Private (for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 2, 1982 in WI
- Enrollment address
- 333 Pine Ridge Blvd
Wausau, WI 54401-4102 - Hospital subgroups
- General
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Redman-Schell |
W-2 Managing Employee | Oct 1, 2019 | |
| Operational/Managerial Control | Oct 1, 2019 | ||
| Tou Shoua J Lor |
Corporate Director |
Sep 30, 2021 | |
| Jennifer Enman-Bourgon |
Corporate Director |
Aug 1, 2023 | |
| Marco Espinoza |
Corporate Director |
Sep 30, 2021 | |
| Michael a Umland |
Corporate Director |
Sep 30, 2022 | |
| Bryan Borrell |
Corporate Director |
Oct 1, 2022 | |
| Jeremy Lewitzke |
Corporate Director |
Sep 30, 2021 | |
| Kyle Page |
Corporate Director |
Sep 30, 2021 | |
| Aspirus, Inc |
5% Or Greater Direct Ownership Interest | Jul 1, 2008 | 100% |
| Operational/Managerial Control | Jul 1, 2008 | 100% | |
| Elizabeth a Renaker-Jansen |
Corporate Director |
Oct 1, 2022 | |
| Jeffrey Wicklander |
W-2 Managing Employee | Jan 1, 2022 | |
| Operational/Managerial Control | Jan 1, 2022 | ||
| Lori Peck |
Corporate Director |
Nov 1, 2018 | |
| W-2 Managing Employee |
Nov 1, 2018 | ||
| Operational/Managerial Control |
Nov 1, 2018 | ||
| Tyler Hack |
Corporate Director |
Feb 26, 2024 | |
| W-2 Managing Employee |
Feb 26, 2024 | ||
| Operational/Managerial Control |
Feb 26, 2024 | ||
| Matthew F Heywood |
Corporate Officer |
Jul 1, 2013 | |
| W-2 Managing Employee |
Jul 31, 2013 | ||
| Operational/Managerial Control |
Jul 31, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040114000297 | WI | Part B Supplier - Clinic/Group Practice | 6406757442 |
Receives reassigned benefits from 687 practitioners 32 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wausau, WI; Weston, WI; Wisconsin Rapids, WI; Woodruff, WI; Merrill, WI; Antigo, WI; Eagle River, WI; Marrathon, WI… |
| O20041111000135 | WI | Part a Provider - Hospital | 6406757442 |
9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Weston, WI; Wausau, WI; Marathon, WI; Merrill, WI; Stevens Point, WI |
National Provider Directory
- Part of
- Wausau Hospital Center
Locations
333 Pine Ridge Blvd
Ste 200
Wausau, WI 54401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | |||
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
215 N 28TH Ave
Wausau, WI 54401-4100
Mailing address
29980 Network PL
Chicago, IL 60673-1299
Phone (715) 847-2304
Other names
- Aspirus Regional Cancer Center
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 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.