NPIMap

Organization Active NPI

Ridgeview Medical Center

  • General Acute Care Hospital
  • Chaska, MN
National Provider Identifier
1710748538
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
RIDGEVIEW MEDICAL CENTER
Practice address
111 Hundertmark Rd
Chaska, MN 55318-4551
Phone
(952) 442-2191
NPI assigned
Jan 18, 2024
Last updated
Feb 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Michael J Phelps
Title
Chief Executive Officer
Phone
(952) 442-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

111 Hundertmark Rd
Chaska, MN 55318-4551

Mailing address

500 S Maple St
Waconia, MN 55387-1791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031023000018 MN Part A Provider - Hospital 9234041997 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Belle Plaine, MN; Winsted, MN; Waconia, MN; Spring Park, MN; Delano, MN; Chaska, MN; Chanhassen, MN; Excelsior, MN
O20031111000183 MN Part B Supplier - Clinic/Group Practice 9234041997 Receives reassigned benefits from 655 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Le Sueur, MN; Minneapolis, MN; Roseville, MN; Spring Park, MN; Waconia, MN; Winsted, MN; Excelsior, MN; Arlington, MN…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710748538. Details of each certification follow.

Hospital certification: CCN 240056

Legal name
RIDGEVIEW MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 7, 2004
Beds
109
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2000 (1 total)
Organization structure
CorporationNon-profit
Enrollment address
500 S Maple St
Waconia, MN 55387-1752
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Ridgeview Medical CenterCCN 240056 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Ridgeview Medical Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Member organizations 13

Organizations listed as members of this organization in the National Provider Directory.

View all 13

Locations

500 S Maple St
Ste 30
Waconia, MN 55387

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Sarah Urtel Individual W-2 Managing Employee Feb 28, 2008
Theresa J Dalen Individual Corporate Officer Feb 1, 2015
Heather Reighard Individual Corporate OfficerBoard Member Jan 1, 2022
Brian S Mark Individual Corporate Officer Feb 1, 2015
Corporate Director Feb 1, 2015
Michael Schuler Individual Corporate OfficerBoard Member Jan 1, 2022
Elaine M Arion Individual W-2 Managing Employee Sep 1, 2015
Operational/Managerial Control Sep 1, 2015
Christopher Bielke Individual W-2 Managing EmployeeManager of Payer Strategy Jun 20, 2022
Julie a Osterberg Individual Corporate Director Feb 1, 2018
David Kirsch Individual Corporate OfficerBoard Member Jan 1, 2022
Ben C Nielsen Individual W-2 Managing Employee Feb 15, 2010
Operational/Managerial Control Mar 4, 2019
Michelle Borchart Individual W-2 Managing EmployeeDirector of Pharmacy Aug 22, 2022
Michael J Phelps Individual Corporate Officer Jan 1, 2018
Operational/Managerial ControlChief Operating Officer Jan 1, 2014
Jeffrey T Nelson Individual Corporate OfficerVice Chair Feb 24, 2014
Corporate DirectorBoard Member May 18, 2009 11.11%
Mark Anderson Individual W-2 Managing EmployeeDirector Ambulance Jan 1, 2022
Brent K Wordelman Individual Corporate OfficerChief Financial Officer Apr 20, 2026
Van Colson Individual Corporate OfficerBoard Member Jan 1, 2022
Stuart Groninga Individual Corporate OfficerBoard Member Jan 1, 2022
Aaron a Bloomquist Individual Corporate OfficerChief Financial Officer Jan 1, 2022

Practitioners & affiliated clinicians

Practitioners 118

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 118

Affiliated clinicians 534

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

View all 534

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1710748538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S MAPLE ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HUNDERTMARK RD",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184551",
            "telephone_number": "952-442-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "952-442-2191"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

Verify at the official NPI Registry.