NPIMap

Organization Active NPI

Aspirus Wausau Hospital, Inc.

Doing business as Aspirus Wausau Family Medicine

  • Family Medicine Physician
  • Wausau, WI
National Provider Identifier
1396174876
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ASPIRUS WAUSAU HOSPITAL, INC.
Doing business as
Aspirus Wausau Family Medicine
Practice address
425 Wind Ridge Dr
Wausau, WI 54401-4149
Phone
(715) 675-3391
Fax
(715) 675-4253
NPI assigned
Nov 5, 2013
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

425 Wind Ridge Dr
Wausau, WI 54401-4149

Mailing address

425 Wind Ridge Dr
Wausau, WI 54401-4149
Phone (715) 675-3391

Other names 1

  • Aspirus Wausau Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

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…

Other NPIs on the same Medicare enrollment 32

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

View all 32

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1396174876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WIND RIDGE DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014149",
            "telephone_number": "715-675-3391",
            "fax_number": "715-675-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WIND RIDGE DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014149",
            "telephone_number": "715-675-3391",
            "fax_number": "715-675-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS WAUSAU HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Wausau Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wausau, 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.