NPIMap

Organization Active NPI

Ascension NE Wisconsin, Inc

Doing business as Ascension NE Wisconsin-Mercy Campus

  • Rehabilitation Hospital Unit
  • Oshkosh, WI
National Provider Identifier
1508872409
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
ASCENSION NE WISCONSIN, INC
Doing business as
Ascension NE Wisconsin-Mercy Campus
Practice address
500 S Oakwood Rd
Oshkosh, WI 54904
Phone
(920) 720-1464
Fax
(920) 720-1728
NPI assigned
Jul 31, 2006
Last updated
Jul 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ASCENSION NE WISCONSIN, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 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
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

500 S Oakwood Rd
Oshkosh, WI 54904

Mailing address

500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 720-1464

Other identifiers 1

IdentifierTypeStateIssuer
52T009OtherWIPART A PTAN

Other names 1

  • ASCENSION NE WISCONSIN-MERCY CAMPUS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180525000768 WI Part A Provider - Hospital 7719897784 Practice locations: Oshkosh, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508872409. Details of each certification follow.

Hospital certification: CCN 52T009

Legal name
ASCENSION NE WISCONSIN, INC
Doing business as
ASCENSION NE WISCONSIN-MERCY CAMPUS
Organization structure
CorporationNon-profit
Incorporated
Apr 3, 1930 in WI
Enrollment address
500 S Oakwood Rd
Oshkosh, WI 54904-7944
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

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: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Ascension- Mercy HospitalCCN 52T009 · All quality measures
Ownership
Non-profit
Certified
Jun 1, 2018

National Provider Directory

National Provider Directory
Tax ID family
Goldstein Surgery5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1531 S Madison St
Ste 415
Appleton, WI 54915
Phone (920) 730-4411

1855 S Koeller St
Oshkosh, WI 54902
Phone (920) 223-7010

2700 W 9th Ave
Ste 305
Oshkosh, WI 54904
Phone (920) 223-3500

2700 W 9th Ave
Ste 320
Oshkosh, WI 54904
Phone (920) 223-3585

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
Ministry Health Care Inc Organization, Glendale, WI Corporation, 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
Shane Carter Individual W-2 Managing EmployeeMercy President Nov 27, 2023
Operational/Managerial ControlMercy President Nov 27, 2023
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, Glendale, WI Corporation, Non-profit Operational/Managerial Control Feb 8, 2012

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 7

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1508872409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S OAKWOOD RD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047944",
            "telephone_number": "920-720-1464",
            "fax_number": "920-720-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S OAKWOOD RD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "54904",
            "telephone_number": "920-720-1464",
            "fax_number": "920-720-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION NE WISCONSIN, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION NE WISCONSIN, INC",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART A PTAN",
            "identifier": "52T009",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASCENSION NE WISCONSIN-MERCY CAMPUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.