NPIMap

Organization Active NPI

Amery Regional Medical Center, Inc.

Doing business as Amery Hospital & Clinic -Clear Lake Clinic

  • Rural Health Clinic/Center
  • Clear Lake, WI
National Provider Identifier
1366878449
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
AMERY REGIONAL MEDICAL CENTER, INC.
Doing business as
Amery Hospital & Clinic -Clear Lake Clinic
Practice address
357 3Rd Ave
Clear Lake, WI 54005-8581
Phone
(715) 268-3100
Fax
(715) 268-0261
NPI assigned
Sep 19, 2013
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Steven Massey
Title
President
Phone
(715) 243-2850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X WI Primary

Addresses

Primary practice location

357 3Rd Ave
Clear Lake, WI 54005-8581

Mailing address

8170 33Rd Ave S
Mailstop 21110Q
Bloomington, MN 55425-4516

Other identifiers 2

IdentifierTypeStateIssuer
52DO394232OtherWICLIA
528562OtherWIRURAL HEALTH CLINIC

Other names 1

  • Amery Hospital & Clinic -Clear Lake Clinic Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080314000485 WI Part A Provider - Critical Access Hospital 2769391960 Receives reassigned benefits from 264 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Luck, WI; Turtle Lake, WI; Clear Lake, WI; Amery, WI
O20131108000486 WI Part A Provider - Rural Health Clinic 2769391960 Practice locations: Clear Lake, WI

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1366878449. Details of each certification follow.

Hospital certification: CCN 521308

Legal name
AMERY REGIONAL MEDICAL CENTER INC
Doing business as
AMERY HOSPITAL & CLINIC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 2, 2000
Last certification
Aug 11, 2018
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1998 in WI
Enrollment address
265 Griffin E St
Amery, WI 54001-1439
Other Hospital Practice Location

Rural health clinic certification: CCN 528562

Legal name
AMERY REGIONAL MEDICAL CENTER INC
Doing business as
CLEAR LAKE CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 9, 2014
Last certification
Jun 16, 2021
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Aug 9, 1954 in WI
Enrollment address
357 3Rd Ave
Clear Lake, WI 54005-8581
Related CCNs
521308

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 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Amery Hospital & ClinicCCN 521308 · All quality measures
Overall star rating
2 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
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
52D0394232Clear Lake Clinic357 3Rd Ave, Clear Lake, WI 54005AccreditationApr 24, 2028

National Provider Directory

National Provider Directory
Tax ID family
Amery Regional Medical Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Steven Massey Individual Corporate Director Apr 27, 2026
Corporate DirectorPresident Apr 24, 2026
Jason Gallagher Individual Corporate Director Jan 1, 2024
Corporate DirectorBoard of Directors, Member of Jan 1, 2024
Jack R Dressen Individual Corporate Director Jan 1, 2026
Khu Thao Individual Corporate Director Aug 1, 2023
Group Health Plan Inc Organization, Minneapolis, MN Non-profit Operational/Managerial Control Jan 1, 2014 12%
Operational/Managerial Control Jan 1, 2014
Nicholas Weiss Individual Corporate Director Jan 1, 2026
Melissa Kolb Individual Corporate Director Apr 1, 2020
Michael Anderson Individual Corporate Director Jan 1, 2019
Sharon Tolva Individual Corporate Director Jan 1, 2019
Annie Jacobsen Individual Corporate Director Aug 1, 2023
Mark Gherty Individual Corporate Director May 1, 2018
Richard G Dado Individual Corporate Director Jun 10, 2019
Corporate DirectorBoard of Directors, Member of Jun 10, 2019
Criag Yehlik Individual Corporate Director Jan 1, 2020
Kris Tjornehoj Individual Corporate Director May 1, 2018
Levon O Haodha Individual Corporate Director Apr 1, 2018
Regan Brown Individual Corporate Director Jan 1, 2019
Alita R Risinger Individual Corporate OfficerSenior VP/Cfo of Care Delivery Jul 1, 2024
Oralee Schock Individual Corporate Director May 1, 2017
Corporate DirectorBoard of Directors, Member of May 31, 2017
Pahoua Hoffman Individual Corporate Director May 1, 2023
Lisa Bjorkman Individual W-2 Managing EmployeeAd; Jul 27, 2015
Bremer Bank National Association Organization, Amery, WI Financial institution 5% Or Greater Security Interest May 27, 2021 24%
Paula Kolbeck Individual Corporate Director Jan 1, 2020
Charles Williamson Individual Corporate Director Mar 1, 2020
Steven Long Individual Corporate Director Oct 26, 2022
Corporate DirectorBoard of Directors, Member of Oct 26, 2022

Owners & managing parties with NPI records 14

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

  • Steven Long, DO
    • Family Medicine Physician
    • Altoona, WI
    • NPI 1154784833

    Corporate Director

    CMS ownership
  • Group Health Inc

    dba Park Nicollet Pharmacy #87017

    • Community/Retail Pharmacy
    • St Louis Park, MN
    • NPI 1104360973

    Operational/Managerial Control

    CMS ownership
  • Group Health, Inc.

    dba HealthPartners West Clinic

    • Durable Medical Equipment & Medical Supplies
    • St Louis Park, MN
    • NPI 1194886002

    Operational/Managerial Control

    CMS ownership
  • Group Health, Inc.

    dba HealthPartners Central Lab

    • Clinical Medical Laboratory
    • Eden Prairie, MN
    • NPI 1215048913

    Operational/Managerial Control

    CMS ownership
  • Group Health, Inc.

    dba HealthPartners Woodbury Eye Clinic

    • Durable Medical Equipment & Medical Supplies
    • Woodbury, MN
    • NPI 1386705291

    Operational/Managerial Control

    CMS ownership
  • Group Health, Inc.

    dba HealthPartners Bloomington Clinic

    • Durable Medical Equipment & Medical Supplies
    • Bloomington, MN
    • NPI 1619037660

    Operational/Managerial Control

    CMS ownership
  • Group Health, Inc.

    dba HealthPartners Home Medical

    • Durable Medical Equipment & Medical Supplies
    • Saint Paul, MN
    • NPI 1689804064

    Operational/Managerial Control

    CMS ownership
  • Group Health, Inc.

    dba HealthPartners Medical Group

    • Multi-Specialty Clinic/Center
    • Minneapolis, MN
    • NPI 1710924683

    Operational/Managerial Control

    CMS ownership
  • Group Health, Inc.

    dba HealthPartners Apple Valley Clinic

    • Durable Medical Equipment & Medical Supplies
    • Apple Valley, MN
    • NPI 1801957717

    Operational/Managerial Control

    CMS ownership
  • Group Health, Inc.

    dba HealthPartners Hospice and Palliative Care

    • Community Based Hospice Care Agency
    • Bloomington, MN
    • NPI 1871534628

    Operational/Managerial Control

    CMS ownership
  • Group Health, Inc.

    dba HealthPartners Arden Hills Eye Clinic

    • Durable Medical Equipment & Medical Supplies
    • Arden Hills, MN
    • NPI 1982764130

    Operational/Managerial Control

    CMS ownership
  • Annie M Jacobsen, M.D.
    • Hematology & Oncology Physician
    • Stillwater, MN
    • NPI 1780002592

    Corporate Director

    CMS ownership
View all 14

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 251

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 251

Affiliated clinicians 269

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

View all 269

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1366878449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MAILSTOP 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 3RD AVE",
            "city": "CLEAR LAKE",
            "state": "WI",
            "postal_code": "540058581",
            "telephone_number": "715-268-3100",
            "fax_number": "715-268-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERY REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-243-2850"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "52DO394232",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH CLINIC",
            "identifier": "528562",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amery Hospital & Clinic -Clear Lake Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clear Lake, WI

Sources for this page

Verify at the official NPI Registry.