Active NPI
Johnson Creek ASC LLC
- Ambulatory Surgical Clinic/Center
- Johnson Creek, WI
National Provider Identifier
1831059666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- JOHNSON CREEK ASC LLC
- Practice address
- 350 Hartwig Blvd
Johnson Creek, WI 53038 - Phone
- (262) 303-5055
- NPI assigned
- Nov 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aron Van Pelt, CPA
- Title
- Cfo
- Phone
- (262) 303-5013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
350 Hartwig Blvd
Johnson Creek, WI 53038
Mailing address
N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone (262) 303-5013
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776988800000",
"number": "1831059666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N15W28300 GOLF RD",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530724800",
"telephone_number": "262-303-5013",
"fax_number": "262-303-5057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HARTWIG BLVD",
"city": "JOHNSON CREEK",
"state": "WI",
"postal_code": "53038",
"telephone_number": "262-303-5055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON CREEK ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-14",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A",
"authorized_official_last_name": "VAN PELT",
"authorized_official_first_name": "ARON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "262-303-5013",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.