NPIMap

Organization Active NPI

Aspirus Wausau Hospital Inc

Doing business as Aspirus Edgar Clinic

  • Clinic/Center
  • Edgar, WI
National Provider Identifier
1447580725
Registry record updated Jun 11, 2024
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 Edgar Clinic
Practice address
103 S 3Rd Ave
Edgar, WI 54426-9282
Phone
(715) 352-2333
NPI assigned
Jan 8, 2010
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ASPIRUS WAUSAU HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Jerry M Yang
Title
SVP & Chief Financial Officer
Phone
(715) 847-2526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

103 S 3Rd Ave
Edgar, WI 54426-9282

Mailing address

PO Box 1008
Wausau, WI 54402-1008
Phone (715) 847-2304

Other names 1

  • Aspirus Edgar 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
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 1447580725. 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

National Provider Directory

National Provider Directory
Part of
Aspirus Wausau Hospital

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 6

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.

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": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1447580725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544021008",
            "telephone_number": "715-847-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S 3RD AVE",
            "city": "EDGAR",
            "state": "WI",
            "postal_code": "544269282",
            "telephone_number": "715-352-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRUS WAUSAU HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASPIRUS WAUSAU HOSPITAL INC",
        "enumeration_date": "2010-01-08",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SVP & CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "715-847-2526"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspirus Edgar Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edgar, WI

Sources for this page

Verify at the official NPI Registry.