NPIMap

Organization Active NPI

Ladd Memorial Hospital

Doing business as Osceola Medical Center

  • Critical Access Hospital
  • Osceola, WI
National Provider Identifier
1467560227
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1021 Issued in WI
Legal business name
LADD MEMORIAL HOSPITAL
Doing business as
Osceola Medical Center
Practice address
2600 65TH Ave
Osceola, WI 54020-4370
Phone
(715) 294-2111
Fax
(715) 294-5696
NPI assigned
Aug 29, 2006
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
Kelly Elizabeth Macken-Marble
Title
Ceo
Phone
(715) 294-5622

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X NU
Critical Access Hospital 282NC0060X 1021 WI Primary

Addresses

Primary practice location

2600 65TH Ave
Osceola, WI 54020-4370

Mailing address

PO Box 218
Osceola, WI 54020-0218
Phone (715) 294-2111

Other identifiers 1

IdentifierTypeStateIssuer
11018800MedicaidWI

Other names 1

  • Osceola Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040204000998 WI Part B Supplier - Clinic/Group Practice 9931092848 Receives reassigned benefits from 181 practitioners
Practice locations: Amery, WI; St Croix Falls, WI; Osceola, WI; New Richmond, WI
O20110126000171 WI Part A Provider - Critical Access Hospital 9931092848 Receives reassigned benefits from 151 practitioners
Practice locations: Osceola, WI
O20110418000723 WI Part A Provider - Critical Access Hospital 9931092848 Receives reassigned benefits from 7 practitioners
Practice locations: Osceola, WI

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1467560227. Details of each certification follow.

Hospital certification: CCN 521318

Legal name
LADD MEMORIAL HOSPITAL
Doing business as
OSCEOLA MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2002
Last certification
Jan 21, 2026
Beds
23
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
2600 65TH Ave
Osceola, WI 54020-4376
Main/Primary Hospital Location

Hospital certification: CCN 52Z318

Legal name
LADD MEMORIAL HOSPITAL
Doing business as
OSCEOLA MEDICAL CENTER
Organization structure
CorporationNon-profit
Enrollment address
2600 65TH Ave
Osceola, WI 54020-4376
Other Hospital Practice Location

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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Ladd Memorial HospitalCCN 521318 · All quality measures
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

Locations

21190 Ozark Ave N
Scandia, MN 55073
Phone (715) 294-2111

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Tyler Schmidtz Individual Corporate Director Jan 1, 2017
Deborah Peters Individual Corporate DirectorBoard Member Aug 1, 2018
Greg R Kumlien Individual Corporate DirectorBoard Member Mar 1, 2019
Kelly E Macken-Marble Individual Corporate OfficerChief Executive Officer Oct 4, 2022
Corporate DirectorChief Executive Officer Oct 1, 2022
Penny Austad Individual Corporate DirectorBoard Member Jan 1, 2022
Erik a Severson Individual Corporate DirectorBoard Member Jul 1, 2018
Kelsey Jo Finnegan Individual W-2 Managing Employee Oct 1, 2018
W-2 Managing EmployeeCredentialing Specialist Oct 1, 2018
Rebecca Styles Individual Corporate DirectorBoard Member Jan 1, 2022
Kierstin Justinger Individual Corporate DirectorBoard Member Mar 1, 2019
Kimberly J Ericson Individual Corporate OfficerCfo Feb 1, 2020
Anne Marie Pueschner Individual Corporate DirectorChairwoman of the Board Jan 1, 2017 100%
Mark Erickson Individual Corporate DirectorBoard Member Mar 1, 2019
John Clark Individual Corporate DirectorBoard Member Mar 1, 2019
Felix C Blanco Individual Corporate DirectorBoard Member Nov 1, 2021
Amin Uddin Individual Corporate DirectorBoard Member Jan 1, 2022
John Gearin Individual Corporate DirectorBoard Member Jan 1, 2021
Rene Milner Individual Corporate Director Apr 1, 2013
Thomas P Hauge Individual Corporate Director Apr 1, 2013
Amanda N Tembreull Individual Corporate Director Jan 1, 2017

Owners & managing parties with NPI records 6

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

Practitioners & affiliated clinicians

Practitioners 189

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 189

Affiliated clinicians 107

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

View all 107

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1467560227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200218",
            "telephone_number": "715-294-2111",
            "fax_number": "715-294-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 65TH AVE",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540204370",
            "telephone_number": "715-294-2111",
            "fax_number": "715-294-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADD MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "MACKEN-MARBLE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-294-5622"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WI",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11018800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osceola Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osceola, WI

Sources for this page

Verify at the official NPI Registry.