NPIMap

Organization Active NPI

Aurora Health Care Southern Lakes, Inc.

Doing business as Aurora Medical Center Summit

  • General Acute Care Hospital
  • Summit, WI
National Provider Identifier
1699008029
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
AURORA HEALTH CARE SOUTHERN LAKES, INC.
Doing business as
Aurora Medical Center Summit
Practice address
36500 Aurora Dr
Summit, WI 53066
Phone
(262) 434-1000
NPI assigned
Sep 17, 2009
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Kara Richardson
Title
VP Managed Health
Phone
(704) 631-0450

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

36500 Aurora Dr
Summit, WI 53066

Mailing address

PO Box 735041
Chicago, IL 60673-5041
Phone (262) 434-1000

Other practice location 1

W231N1440 Corporate Ct
Waukesha, WI 53186-1303
Phone (262) 434-1000

Other identifiers 2

IdentifierTypeStateIssuer
100009852MedicaidWI
100065659MedicaidWI

Other names 1

  • Aurora Medical Center Summit Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091216000479 WI Part A Provider - Hospital 1850291865 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Summit, WI
O20100823000181 WI Part A Provider - Hospital 1850291865 Practice locations: Brookfield, WI; Waukesha, WI; Summit, WI

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1699008029. Details of each certification follow.

Hospital certification: CCN 52T206

Legal name
AURORA HEALTH CARE SOUTHERN LAKES, INC.
Doing business as
AURORA MEDICAL CENTER-SUMMIT
Organization structure
CorporationNon-profit
Incorporated
Mar 15, 1922 in WI
Enrollment address
36500 Aurora Dr
Summit, WI 53066-4899
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Hospital certification: CCN 520206

Legal name
AURORA HEALTH CARE SOUTHERN LAKES, INC.
Doing business as
AURORA MEDICAL CENTER-SUMMIT
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 3, 2010
Last certification
May 3, 2010
Beds
66
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
36500 Aurora Dr
Summit, WI 53066-4899
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Rehabilitation

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

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Aurora Medical Center - SummitCCN 520206 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Aurora Medical CenterCCN 52T206 · All quality measures
Ownership
Non-profit
Certified
May 3, 2010

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Ania Horner Individual Corporate Officer Sep 6, 2022
Aurora Health Care, Inc. Organization, Milwaukee, WI Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2010 100%
Operational/Managerial Control Mar 1, 2010 100%
Gabrielle Finley-Hazle Individual Corporate OfficerPresident Dec 15, 2023
Corporate Director Dec 15, 2023
Corporate DirectorBoard Member Dec 15, 2023
Tori Munnik Individual W-2 Managing EmployeeDirector Managed Health Oct 1, 2024
W-2 Managing EmployeeDirector Managed Health Jan 31, 2025
Rachelle Hart Individual Corporate OfficerSecretary Oct 23, 2013
Corporate OfficerSecretary Jun 6, 2023
Corporate DirectorBoard Member Oct 23, 2013
Kara Richardson Individual Corporate OfficerAssistant Treasurer Oct 1, 2024
Corporate OfficerVP Managed Health Oct 4, 2024
W-2 Managing EmployeeVP Managed Health Jan 31, 2025
Rachel Halverson Individual Corporate OfficerAssistant Treasurer Jun 6, 2023
Desiree Millet Individual W-2 Managing EmployeeManager Managed Health Oct 1, 2024
W-2 Managing EmployeeManager Managed Health Jan 31, 2025
Harold James Jr Slinkman Individual Corporate OfficerAssistant Secretary Sep 28, 2023
Advocate Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Dec 2, 2022
Advocate Aurora Health, Inc. Organization, Milwaukee, WI Created for acquisition, Non-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Operational/Managerial Control Apr 1, 2018 100%
Jessica Bauer Individual Corporate OfficerVice President Jan 1, 2020
Corporate Director Jan 1, 2020
W-2 Managing EmployeePresident Oct 1, 2019
W-2 Managing EmployeeVice President Oct 1, 2019
Carrie Killoran Individual Corporate DirectorBoard Member May 26, 2016
Jennifer Schomberg Individual Corporate OfficerVice President Apr 16, 2025
Corporate DirectorBoard Member Apr 16, 2025
Jamie Campbell Individual Corporate OfficerPresident Apr 7, 2025
Lindsay Durgin Individual Corporate OfficerTreasurer Jul 1, 2025

Facilities with the same owner 92

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

View all 92

Practitioners & affiliated clinicians

Practitioners 3

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 532

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

View all 532

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1699008029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735041",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735041",
            "telephone_number": "262-434-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36500 AURORA DR",
            "city": "SUMMIT",
            "state": "WI",
            "postal_code": "53066",
            "telephone_number": "262-434-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W231N1440 Corporate Ct",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531861303",
            "country_code": "US",
            "telephone_number": "262-434-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AURORA HEALTH CARE SOUTHERN LAKES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "VP MANAGED HEALTH",
        "authorized_official_telephone_number": "704-631-0450"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100009852",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100065659",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd STE B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aurora Medical Center Summit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aurora Medical Center Summit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summit, WI

Sources for this page

Verify at the official NPI Registry.