NPIMap

Organization Active NPI

Aspirus Wausau Hospital, Inc.

Doing business as Aspirus Regional Cancer Center

  • Clinic/Center
  • Wausau, WI
National Provider Identifier
1356576490
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ASPIRUS WAUSAU HOSPITAL, INC.
Doing business as
Aspirus Regional Cancer Center
Practice address
215 N 28TH Ave
Wausau, WI 54401-4100
Phone
(715) 847-2866
NPI assigned
May 19, 2009
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ASPIRUS WAUSAU HOSPITAL, 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
Clinic/Center 261Q00000X Primary
Hematology & Oncology Physician 207RH0003X

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 1

  • Aspirus Regional Cancer Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356576490. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Dec 2, 1982 in WI
Enrollment address
333 Pine Ridge Blvd
Wausau, WI 54401-4102
Main/Primary Hospital Location
Hospital subgroups
General

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

Other NPIs on the same Medicare enrollment 34

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

View all 34

Care Compare: Hospital

Medicare Care Compare
Listed as
Aspirus Wausau HospitalCCN 520030 · All quality measures
Overall star rating
4 of 5
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
52D0676856Aspirus Regional Cancer Center215 N 28TH Ave, Wausau, WI 54401ComplianceMay 21, 2027

National Provider Directory

National Provider Directory
Part of
Wisconsin Emergency Med

Locations

333 Pine Ridge Blvd
Ste 200
Wausau, WI 54401

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Jennifer Redman-Schell Individual W-2 Managing Employee Oct 1, 2019
Operational/Managerial Control Oct 1, 2019
Tou Shoua J Lor Individual Corporate DirectorBoard Member Sep 30, 2021
Jennifer Enman-Bourgon Individual Corporate DirectorBoard Member Aug 1, 2023
Marco Espinoza Individual Corporate DirectorBoard Member Sep 30, 2021
Michael a Umland Individual Corporate DirectorBoard Member Sep 30, 2022
Bryan Borrell Individual Corporate DirectorBoard Member Oct 1, 2022
Jeremy Lewitzke Individual Corporate DirectorBoard Member Sep 30, 2021
Kyle Page Individual Corporate DirectorBoard Member Sep 30, 2021
Aspirus, Inc Organization, Wausau, WI Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2008 100%
Operational/Managerial Control Jul 1, 2008 100%
Elizabeth a Renaker-Jansen Individual Corporate DirectorBoard Member Oct 1, 2022
Jeffrey Wicklander Individual W-2 Managing Employee Jan 1, 2022
Operational/Managerial Control Jan 1, 2022
Lori Peck Individual Corporate DirectorVP - System Finance Nov 1, 2018
W-2 Managing EmployeeVP- System Finance Nov 1, 2018
Operational/Managerial ControlVP- System Finance Nov 1, 2018
Tyler Hack Individual Corporate DirectorVP - System Revenue Cycle Feb 26, 2024
W-2 Managing EmployeeVP - System Revenue Cycle Feb 26, 2024
Operational/Managerial ControlVP - System Revenue Cycle Feb 26, 2024
Matthew F Heywood Individual Corporate OfficerCeo Jul 1, 2013
W-2 Managing EmployeeCeo Jul 31, 2013
Operational/Managerial ControlCeo Jul 31, 2013

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

Practitioners 22

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 22

Affiliated clinicians 832

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

View all 832

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1356576490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29980 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731299",
            "telephone_number": "715-847-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N 28TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014100",
            "telephone_number": "715-847-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS WAUSAU HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASPIRUS WAUSAU HOSPITAL, INC.",
        "enumeration_date": "2009-05-19",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Regional Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspirus Regional Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.