NPIMap

Organization Active NPI

Children's Hospital of Wisconsin, Inc.

  • Children's Hospital
  • Milwaukee, WI
National Provider Identifier
1750482022
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
135 Issued in WI
Legal business name
CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Practice address
9000 W Wisconsin Ave
Milwaukee, WI 53226-3518
Phone
(414) 266-2000
Fax
(414) 266-6409
NPI assigned
Sep 26, 2006
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Monica Ricca
Title
VP Revenue Cycle
Phone
(414) 266-2511

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X 135 WI Primary
Clinical Medical Laboratory 291U00000X 135 WI
Durable Medical Equipment & Medical Supplies 332B00000X 135 WI
Pediatric Dentistry 1223P0221X 135 WI
Audiologist 231H00000X
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

9000 W Wisconsin Ave
Milwaukee, WI 53226-3518

Mailing address

PO Box 1997
Milwaukee, WI 53201-1997
Phone (414) 266-2000

Other identifiers 17

IdentifierTypeStateIssuer
00095382MedicaidMS
01509640MedicaidNY
0944108MedicaidIA
01700160MedicaidKY
40-4655064MedicaidMI
6014253MedicaidOH
11019700MedicaidWI
XHSP43461MedicaidCA
013436506MedicaidMO
30-4655055MedicaidMI
00435179XMedicaidGA
XHSP33461MedicaidCA
01 86806201MedicaidKS
100037470AMedicaidIN
11530400MedicaidFL
119026105MedicaidAR
D0927520-00MedicaidMN

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081021000865 WI Part A Provider - Hospital 4486687399 Practice locations: Wauwatosa, WI; New Berlin, WI; Mount Pleasant, WI; Milwaukee, WI; Mequon, WI; Appleton, WI; Ashwaubenon, WI; Brookfield, WI…
O20151005000827 WI Part B Supplier - Hospital Department(S) 4486687399 Practice locations: New Berlin, WI; Mt Pleasant, WI; Milwaukee, WI; Mequon, WI; Elkhorn, WI; Kenosha, WI; Appleton, WI; Brookfield, WI…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750482022. Details of each certification follow.

Hospital certification: CCN 523300

Legal name
CHILDRENS HOSPITAL OF WISCONSIN INC
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Jan 1, 1984
Last certification
Sep 23, 2003
Beds
296
Ownership / control type
Other
Organization structure
CorporationNon-profit
Enrollment address
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Main/Primary Hospital Location
Hospital subgroups
Children’s

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Childrens Hospital of WisconsinCCN 523300 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

Drawer 531
Milwaukee, WI 53278

Ownership & related parties

All disclosed owners & managing parties 33

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

NameRoleSinceShare
Xia Liu Individual Corporate Director Jan 1, 2023
Gil Peri Individual Corporate OfficerPresident & Ceo Jun 23, 2025
W-2 Managing EmployeePresident & Ceo Jun 23, 2025
Kelly Grebe Individual Corporate Director Jan 1, 2023
Paul Sternlieb Individual Corporate Director Jan 1, 2023
Rainer Gedeit Individual W-2 Managing Employee Jan 1, 2024
Eve Hall Individual Corporate Director Jan 1, 2023
Mark a Cadieux Individual Corporate OfficerCorporate VP; Cfo Jun 22, 2015
W-2 Managing EmployeeCorporate VP; Cfo Oct 15, 2010
Erin Yale-Horwitz Individual W-2 Managing Employee Jan 1, 2024
Patrick Hammes Individual Corporate Director Jan 1, 2023
Jason Jarzembowski Individual Corporate Director Jan 1, 2023
Todd Adams Individual Corporate Director Jan 1, 2023
Nancy Korom Individual Corporate OfficerChief Nursing Officer, VP CHW Oct 15, 2010
W-2 Managing EmployeeChief Nursing Officer, VP CHW May 1, 2017
David Gourlay Individual Corporate Director Jan 1, 2023
Jamie Purko Individual Corporate Officer Jan 1, 2023
Linda Benfield Individual Corporate Director Jan 1, 2023
Thomas Precia Individual Corporate DirectorBoard Member Jan 1, 2017
Christina Chang Individual Corporate Director Jan 1, 2023
David Margolis Individual Corporate Director Jan 1, 2023
John Reichert Individual Corporate Director Jan 1, 2023
Kenneth Bockhorst Individual Corporate Director Jan 1, 2023
Lisa Jentsch Individual W-2 Managing Employee Jan 1, 2024
Monica Ricca Individual Corporate OfficerVP Revenue Cycle Jan 1, 2015
W-2 Managing EmployeeVP Revenue Cycle Jan 1, 2015
Rupesh Agrawal Individual Corporate Director Jan 1, 2024
Benjamin Blanton Melson Individual Corporate DirectorBoard Member Jan 1, 2017
Todd Endres Individual Corporate Director Jan 1, 2023
Ivan Gamboa Individual Corporate Director Jan 1, 2024
Jennifer Henningfeld Individual Corporate Director Jan 1, 2023
Dave Werner Individual Corporate Director Jan 1, 2023
Nancy Avila Individual Corporate Director Jan 1, 2023
John Scalcucci Individual W-2 Managing Employee Jan 1, 2024
Kaitlin Gannett Individual Corporate Director Jan 1, 2024
Danielle Machata Individual Corporate Director Jan 1, 2023
Matthew D'Attilio Individual Corporate DirectorBoard Member Jan 1, 2017

Owners & managing parties with NPI records 5

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

Practitioners & affiliated clinicians

Practitioners 20

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 20

Affiliated clinicians 68

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

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1750482022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1997",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532011997",
            "telephone_number": "414-266-2000",
            "fax_number": "414-266-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263518",
            "telephone_number": "414-266-2000",
            "fax_number": "414-266-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "RICCA",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "414-266-2511"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "WI",
            "license": "135",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WI",
            "license": "135",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "135",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "135",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
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            "code": "05",
            "desc": "MEDICAID",
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        },
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        },
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        },
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        },
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            "identifier": "11019700",
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        },
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            "identifier": "XHSP43461",
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        },
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        },
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            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
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            "code": "05",
            "desc": "MEDICAID",
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            "code": "05",
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            "identifier": "D0927520-00",
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    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.