NPIMap

Organization Active NPI

Reedsburg Area Medical Center, Inc.

  • Family Medicine Physician
  • Reedsburg, WI
National Provider Identifier
1457780983
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1057 Issued in WI
Legal business name
REEDSBURG AREA MEDICAL CENTER, INC.
Practice address
1900 N Dewey Ave
Reedsburg, WI 53959-2214
Phone
(608) 524-8611
NPI assigned
Nov 5, 2013
Last updated
Jan 8, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
REEDSBURG AREA MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Robert Vanmeeteren
Title
President
Phone
(608) 768-6201

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 1057 WI Primary
Critical Access Hospital 282NC0060X 1057 WI

Addresses

Primary practice location

1900 N Dewey Ave
Reedsburg, WI 53959-2214

Mailing address

1900 N Dewey Ave
Reedsburg, WI 53959-2214
Phone (608) 524-8611

Other identifiers 1

IdentifierTypeStateIssuer
000000446OtherMEDICARE PTAN

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031208000083 WI Part B Supplier - Clinic/Group Practice 9830008259 Receives reassigned benefits from 257 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Reedsburg, WI; Lavalle, WI
O20061104000477 WI Part A Provider - Critical Access Hospital 9830008259 Receives reassigned benefits from 104 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Reedsburg, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457780983. Details of each certification follow.

Hospital certification: CCN 521351

Legal name
REEDSBURG AREA MEDICAL CENTER INC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2005
Last certification
Jan 19, 2017
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 22, 1967 in WI
Enrollment address
2000N Dewey Ave
Reedsburg, WI 53959-1049

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

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
Reedsburg Area Medical CenterCCN 521351 · All quality measures
Overall star rating
5 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Reedsburg Area Med Ctr

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Benjamin a Nesseim Individual Corporate Officer Oct 1, 2023
Joel Groskreutz Individual Corporate OfficerBoard Member Oct 1, 2017
W-2 Managing EmployeePresident Jan 1, 2014 100%
Christopher J Wenninger Individual Corporate OfficerBoard Member Oct 1, 2023
Julie Adelman Individual Corporate OfficerBoard Member Oct 1, 2023
Derek Horkan Individual Corporate OfficerBoard Member Oct 1, 2017
W-2 Managing EmployeePresident Jan 1, 2014 100%
Raynelle Syftestad Individual Corporate OfficerBoard Member Oct 1, 2017
W-2 Managing EmployeePresident Jan 1, 2014 100%
Don Lichte Individual Corporate OfficerBoard Member Oct 1, 2017
W-2 Managing EmployeePresident Jan 1, 2014 100%
Kathleen R Reuter Individual Corporate OfficerBoard Member Oct 1, 2023
Kristi Brown Individual Corporate OfficerBoard Member Oct 1, 2017
W-2 Managing EmployeePresident Jan 1, 2014 100%
Richard H Strutz Individual Corporate OfficerBoard Member Oct 1, 2023
Rebecca R Peterson Individual Corporate OfficerBoard Member Oct 1, 2023
Robert Vanmeeteren Individual Corporate Director Feb 6, 2013
W-2 Managing EmployeePresident Jan 1, 2014 100%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 115

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 115

Affiliated clinicians 178

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

View all 178

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": "1389139200000",
    "number": "1457780983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539592214",
            "telephone_number": "608-524-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539592214",
            "telephone_number": "608-524-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDSBURG AREA MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REEDSBURG AREA MEDICAL CENTER",
        "enumeration_date": "2013-11-05",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "VANMEETEREN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-768-6201"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "1057",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WI",
            "license": "1057",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000000446",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

Verify at the official NPI Registry.