NPIMap

Organization Active NPI

Ascension NE Wisconsin, Inc

Doing business as Ascension NE Wisconsin-St Elizabeth Campus

  • General Acute Care Hospital
  • Appleton, WI
National Provider Identifier
1407803638
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ASCENSION NE WISCONSIN, INC
Doing business as
Ascension NE Wisconsin-St Elizabeth Campus
Practice address
1506 S Oneida St
Appleton, WI 54915-1305
Phone
(920) 738-2000
NPI assigned
May 31, 2006
Last updated
Jul 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Susan Dwyer
Title
Cfo
Phone
(414) 465-3093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1506 S Oneida St
Appleton, WI 54915-1305

Mailing address

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000

Other identifiers 1

IdentifierTypeStateIssuer
11006700MedicaidWI

Other names 1

  • Ascension NE Wisconsin-St Elizabeth Campus Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030627000014 WI Part A Provider - Hospital 7719897784 1 other NPI on this enrollment
Practice locations: Appleton, WI; Winneconne, WI; Neenah, WI; Menasha, WI; Greenville, WI
O20061027000037 WI Part B Supplier - Clinic/Group Practice 7719897784 Receives reassigned benefits from 212 practitioners
1 other NPI on this enrollment
Practice locations: Appleton, WI; Oshkosh, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407803638. Details of each certification follow.

Hospital certification: CCN 520009

Legal name
ASCENSION NE WISCONSIN, INC
Doing business as
ASCENSION NE WISCONSIN-ST ELIZABETH CAMPUS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 1, 2003
Beds
332
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 3, 1930 in WI
Enrollment address
1506 S Oneida St
Appleton, WI 54915-1305
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Alcohol/drug

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

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.

Care Compare: Hospital

Medicare Care Compare
Listed as
Ascension NE Wisconsin - St Elizabeth CampusCCN 520009 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Ministry Health Care Inc Organization, Glendale, WI Non-profit Operational/Managerial Control Feb 8, 2012
Kurt Schley Individual Corporate DirectorBoard Member Jan 1, 2026
Michael Bergmann Individual W-2 Managing EmployeeHospital President Jan 25, 2021
Operational/Managerial ControlHospital President Jan 25, 2021
John Rowe Individual Corporate DirectorBoard Member Jul 1, 2018
Kristin a McManmon Individual Corporate DirectorBoard Member Jan 1, 2026
Daniel W Jackson Individual Corporate OfficerCeo Jan 1, 2024
W-2 Managing EmployeeCeo Jan 1, 2024
Operational/Managerial ControlCeo Jan 1, 2024
Robin Barten Individual W-2 Managing EmployeeNet Rev MGMT-MGR Nov 1, 2024
Michael McCullough Individual Corporate OfficerCfo Oct 21, 2024
W-2 Managing EmployeeCfo Oct 21, 2024
Operational/Managerial ControlCfo Oct 21, 2024
Stephanie Hietpas Individual W-2 Managing EmployeeNet Rev MGMT-MGR Nov 1, 2024
Andre I Storey Individual Corporate DirectorBoard Member Jan 1, 2026
Rexanne R Braun Individual W-2 Managing EmployeeEnrollment Coordinator Jul 1, 2019
David E Miller Individual Corporate DirectorBoard Member Jul 1, 2024
Ascension Health Organization, Saint Louis, MO Corporation, Non-profit Operational/Managerial Control Mar 1, 2016

Owners & managing parties with NPI records 1

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

Facilities with the same owner 157

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

View all 157

Practitioners & affiliated clinicians

Practitioners 218

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 218

Affiliated clinicians 510

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

View all 510

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1407803638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S ONEIDA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151305",
            "telephone_number": "920-738-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 S ONEIDA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151305",
            "telephone_number": "920-738-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION NE WISCONSIN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-465-3093"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11006700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension NE Wisconsin-St Elizabeth Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascension NE Wisconsin-St Elizabeth Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.